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Measuring and Monitoring Cognition in the Postoperative Period

Piggin, L. H. & Newman, S. P. ORCID: 0000-0001-6712-6079 (2019). Measuring and Monitoring Cognition in the Postoperative Period. Best Practice & Research Clinical Anaesthesiology, 34(1), e1-e12. doi: 10.1016/j.bpa.2018.11.002


It is common for patients of all ages to experience some degree of cognitive disturbance following surgery. In most cases, impairment appears mild and is restricted to the acute post-operative period, resolving steadily and speedily. In a small number of cases, however, deficits may be more pronounced and/or endure for longer periods, significantly delaying recovery and increasing the risk of serious clinical complications. The ability to accurately measure postoperative cognition, and track recovery of function, is an important clinical task. This review explores practical and methodological issues that may confound this process, examining how best to obtain reliable and meaningful measures of cognition before and after surgery. It considers neuropsychological test selection, administration, analysis and interpretation and offers evidence-based practice points for clinicians and researchers.

Publication Type: Article
Additional Information: © Elsevier 2019. This manuscript version is made available under the CC-BY-NC-ND 4.0 license
Publisher Keywords: postoperative cognition, recovery, measurement, cognitive testing
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RC Internal medicine
Departments: School of Health & Psychological Sciences > Healthcare Services Research & Management
SWORD Depositor:
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Text - Accepted Version
Available under License Creative Commons Attribution Non-commercial No Derivatives.

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