Recommendations for the nomenclature of Cognitive change associated with anaesthesia and surgery-2018

L. Evered; B. Silbert; D. S. Knopman; D. A. Scott; S. T. DeKosky; L. S. Rasmussen; E. S. Oh; G. Crosby; M. Berger; R. G. Eckenhoff; Roderic G. Eckenhof; David Ames; Alex Bekker; Deborah Blacker; Jefrey Browndyke; Greg Crosby; Stacie G. Deiner; Diederik Van Dijk; Maryellen F. Eckenhof; Lars Eriksson; Dougas Galasko; Kirk Hogan; Sharon Inouye; David Knopman; Constantine Lyketsos; Edward Marcantonio; Paul Maruf; Mervyn Maze; Esther Oh; Beverley A. Orser; Tomas Ottens; Catherine Price; Lars S. Rasmussen; Perminder Sachdev; Katie Schenning; David A. Scott; Frederick E. Seiber; Brendan Silbert; Jef Silverstein; Jacob Steinmetz; Niccolo Terrando; Paula Trzapacz; Rob Whittington; Zhong Cong Xie

doi:10.1097/ALN.0000000000002334

Recommendations for the nomenclature of Cognitive change associated with anaesthesia and surgery-2018

L. Evered, B. Silbert, D. S. Knopman, D. A. Scott, S. T. DeKosky, L. S. Rasmussen, E. S. Oh, G. Crosby, M. Berger, R. G. Eckenhoff, Roderic G. Eckenhof, David Ames, Alex Bekker, Deborah Blacker, Jefrey Browndyke, Greg Crosby, Stacie G. Deiner, Diederik Van Dijk, Maryellen F. Eckenhof, Lars ErikssonDougas Galasko, Kirk Hogan, Sharon Inouye, David Knopman, Constantine Lyketsos, Edward Marcantonio, Paul Maruf, Mervyn Maze, Esther Oh, Beverley A. Orser, Tomas Ottens, Catherine Price, Lars S. Rasmussen, Perminder Sachdev, Katie Schenning, David A. Scott, Frederick E. Seiber, Brendan Silbert, Jef Silverstein, Jacob Steinmetz, Niccolo Terrando, Paula Trzapacz, Rob Whittington, Zhong Cong Xie

Neurology

Research output: Contribution to journal › Article › peer-review

54 Scopus citations

Abstract

Cognitive change afecting patients after anaesthesia and surgery has been recognised for more than 100 yr. Research into cognitive change after anaesthesia and surgery accelerated in the 1980s when multiple studies utilised detailed neuropsychological testing for assessment of cognitive change after cardiac surgery. This body of work consistently documented decline in cognitive function in elderly patients after anaesthesia and surgery, and cognitive changes have been identifed up to 7.5 yr afterwards. Importantly, other studies have identifed that the incidence of cognitive change is similar after non-cardiac surgery. Other than the inclusion of non-surgical control groups to calculate postoperative cognitive dysfunction, research into these cognitive changes in the perioperative period has been undertaken in isolation from cognitive studies in the general population. The aim of this work is to develop similar terminology to that used in cognitive classifications of the general population for use in investigations of cognitive changes after anaesthesia and surgery. A multispecialty working group followed a modifed Delphi procedure with no prespecifed number of rounds comprised of three face-to-face meetings followed by online editing of draft versions. Two major classification guidelines (Diagnostic and Statistical Manual for Mental Disorders, ffth edition [DSM-5] and National Institute for Aging and the Alzheimer Association [NIA-AA]) are used outside of anaesthesia and surgery, and may be useful for inclusion of biomarkers in research. For clinical purposes, it is recommended to use the DSM-5 nomenclature. The working group recommends that 'perioperative neurocognitive disorders' be used as an overarching term for cognitive impairment identifed in the preoperative or postoperative period. This includes cognitive decline diagnosed before operation (described as neurocognitive disorder); any form of acute event (postoperative delirium) and cognitive decline diagnosed up to 30 days after the procedure (delayed neurocognitive recovery) and up to 12 months (postoperative neurocognitive disorder).

Original language	English (US)
Pages (from-to)	872-879
Number of pages	8
Journal	Anesthesiology
Volume	129
Issue number	5
DOIs	https://doi.org/10.1097/ALN.0000000000002334
State	Published - Jan 1 2018

Keywords

Cognition disorders
Delirium
Neurocognitive disorders
Postoperative complications

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

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10.1097/ALN.0000000000002334

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Evered, L., Silbert, B., Knopman, D. S., Scott, D. A., DeKosky, S. T., Rasmussen, L. S., Oh, E. S., Crosby, G., Berger, M., Eckenhoff, R. G., Eckenhof, R. G., Ames, D., Bekker, A., Blacker, D., Browndyke, J., Crosby, G., Deiner, S. G., Van Dijk, D., Eckenhof, M. F., ... Xie, Z. C. (2018). Recommendations for the nomenclature of Cognitive change associated with anaesthesia and surgery-2018. Anesthesiology, 129(5), 872-879. https://doi.org/10.1097/ALN.0000000000002334

Evered, L, Silbert, B, Knopman, DS, Scott, DA, DeKosky, ST, Rasmussen, LS, Oh, ES, Crosby, G, Berger, M, Eckenhoff, RG, Eckenhof, RG, Ames, D, Bekker, A, Blacker, D, Browndyke, J, Crosby, G, Deiner, SG, Van Dijk, D, Eckenhof, MF, Eriksson, L, Galasko, D, Hogan, K, Inouye, S, Knopman, D, Lyketsos, C, Marcantonio, E, Maruf, P, Maze, M, Oh, E, Orser, BA, Ottens, T, Price, C, Rasmussen, LS, Sachdev, P, Schenning, K, Scott, DA, Seiber, FE, Silbert, B, Silverstein, J, Steinmetz, J, Terrando, N, Trzapacz, P, Whittington, R & Xie, ZC 2018, 'Recommendations for the nomenclature of Cognitive change associated with anaesthesia and surgery-2018', Anesthesiology, vol. 129, no. 5, pp. 872-879. https://doi.org/10.1097/ALN.0000000000002334

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title = "Recommendations for the nomenclature of Cognitive change associated with anaesthesia and surgery-2018",

abstract = "Cognitive change afecting patients after anaesthesia and surgery has been recognised for more than 100 yr. Research into cognitive change after anaesthesia and surgery accelerated in the 1980s when multiple studies utilised detailed neuropsychological testing for assessment of cognitive change after cardiac surgery. This body of work consistently documented decline in cognitive function in elderly patients after anaesthesia and surgery, and cognitive changes have been identifed up to 7.5 yr afterwards. Importantly, other studies have identifed that the incidence of cognitive change is similar after non-cardiac surgery. Other than the inclusion of non-surgical control groups to calculate postoperative cognitive dysfunction, research into these cognitive changes in the perioperative period has been undertaken in isolation from cognitive studies in the general population. The aim of this work is to develop similar terminology to that used in cognitive classifications of the general population for use in investigations of cognitive changes after anaesthesia and surgery. A multispecialty working group followed a modifed Delphi procedure with no prespecifed number of rounds comprised of three face-to-face meetings followed by online editing of draft versions. Two major classification guidelines (Diagnostic and Statistical Manual for Mental Disorders, ffth edition [DSM-5] and National Institute for Aging and the Alzheimer Association [NIA-AA]) are used outside of anaesthesia and surgery, and may be useful for inclusion of biomarkers in research. For clinical purposes, it is recommended to use the DSM-5 nomenclature. The working group recommends that 'perioperative neurocognitive disorders' be used as an overarching term for cognitive impairment identifed in the preoperative or postoperative period. This includes cognitive decline diagnosed before operation (described as neurocognitive disorder); any form of acute event (postoperative delirium) and cognitive decline diagnosed up to 30 days after the procedure (delayed neurocognitive recovery) and up to 12 months (postoperative neurocognitive disorder).",

keywords = "Cognition disorders, Delirium, Neurocognitive disorders, Postoperative complications",

author = "L. Evered and B. Silbert and Knopman, {D. S.} and Scott, {D. A.} and DeKosky, {S. T.} and Rasmussen, {L. S.} and Oh, {E. S.} and G. Crosby and M. Berger and Eckenhoff, {R. G.} and Eckenhof, {Roderic G.} and David Ames and Alex Bekker and Deborah Blacker and Jefrey Browndyke and Greg Crosby and Deiner, {Stacie G.} and {Van Dijk}, Diederik and Eckenhof, {Maryellen F.} and Lars Eriksson and Dougas Galasko and Kirk Hogan and Sharon Inouye and David Knopman and Constantine Lyketsos and Edward Marcantonio and Paul Maruf and Mervyn Maze and Esther Oh and Orser, {Beverley A.} and Tomas Ottens and Catherine Price and Rasmussen, {Lars S.} and Perminder Sachdev and Katie Schenning and Scott, {David A.} and Seiber, {Frederick E.} and Brendan Silbert and Jef Silverstein and Jacob Steinmetz and Niccolo Terrando and Paula Trzapacz and Rob Whittington and Xie, {Zhong Cong}",

note = "Publisher Copyright: {\textcopyright} 2018 Jointly by the British Journal of Anaesthesia, American Society of Anesthesiologists Inc, Wolters Kluwer Health Inc, International Anesthestic Research Society, Canadian Anesthesiologist's Society, Acta Anaesthesiologica Scandinavica Foundation, and IOS Press. All rights reserved.",

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AU - Silbert, B.

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AU - DeKosky, S. T.

AU - Rasmussen, L. S.

AU - Oh, E. S.

AU - Crosby, G.

AU - Berger, M.

AU - Eckenhoff, R. G.

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AU - Crosby, Greg

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AU - Van Dijk, Diederik

AU - Eckenhof, Maryellen F.

AU - Eriksson, Lars

AU - Galasko, Dougas

AU - Hogan, Kirk

AU - Inouye, Sharon

AU - Knopman, David

AU - Lyketsos, Constantine

AU - Marcantonio, Edward

AU - Maruf, Paul

AU - Maze, Mervyn

AU - Oh, Esther

AU - Orser, Beverley A.

AU - Ottens, Tomas

AU - Price, Catherine

AU - Rasmussen, Lars S.

AU - Sachdev, Perminder

AU - Schenning, Katie

AU - Scott, David A.

AU - Seiber, Frederick E.

AU - Silbert, Brendan

AU - Silverstein, Jef

AU - Steinmetz, Jacob

AU - Terrando, Niccolo

AU - Trzapacz, Paula

AU - Whittington, Rob

AU - Xie, Zhong Cong

N1 - Publisher Copyright: © 2018 Jointly by the British Journal of Anaesthesia, American Society of Anesthesiologists Inc, Wolters Kluwer Health Inc, International Anesthestic Research Society, Canadian Anesthesiologist's Society, Acta Anaesthesiologica Scandinavica Foundation, and IOS Press. All rights reserved.

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N2 - Cognitive change afecting patients after anaesthesia and surgery has been recognised for more than 100 yr. Research into cognitive change after anaesthesia and surgery accelerated in the 1980s when multiple studies utilised detailed neuropsychological testing for assessment of cognitive change after cardiac surgery. This body of work consistently documented decline in cognitive function in elderly patients after anaesthesia and surgery, and cognitive changes have been identifed up to 7.5 yr afterwards. Importantly, other studies have identifed that the incidence of cognitive change is similar after non-cardiac surgery. Other than the inclusion of non-surgical control groups to calculate postoperative cognitive dysfunction, research into these cognitive changes in the perioperative period has been undertaken in isolation from cognitive studies in the general population. The aim of this work is to develop similar terminology to that used in cognitive classifications of the general population for use in investigations of cognitive changes after anaesthesia and surgery. A multispecialty working group followed a modifed Delphi procedure with no prespecifed number of rounds comprised of three face-to-face meetings followed by online editing of draft versions. Two major classification guidelines (Diagnostic and Statistical Manual for Mental Disorders, ffth edition [DSM-5] and National Institute for Aging and the Alzheimer Association [NIA-AA]) are used outside of anaesthesia and surgery, and may be useful for inclusion of biomarkers in research. For clinical purposes, it is recommended to use the DSM-5 nomenclature. The working group recommends that 'perioperative neurocognitive disorders' be used as an overarching term for cognitive impairment identifed in the preoperative or postoperative period. This includes cognitive decline diagnosed before operation (described as neurocognitive disorder); any form of acute event (postoperative delirium) and cognitive decline diagnosed up to 30 days after the procedure (delayed neurocognitive recovery) and up to 12 months (postoperative neurocognitive disorder).

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Recommendations for the nomenclature of Cognitive change associated with anaesthesia and surgery-2018

Abstract

Keywords

ASJC Scopus subject areas

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