The Effect of Cerebral Oxygen Saturation Changes on Early Postoperative Neuropsychological Function in Patients Undergoing Cranial Surgery

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dc.authoridSA, FAT/0000-0001-5251-4618
dc.authorwosidColak, Alkin/R-8739-2017
dc.authorwosidSA, FAT/KJL-4315-2024
dc.contributor.authorHekimoglu Sahin, Sevtap
dc.contributor.authorCopuroglu, Elif
dc.contributor.authorDelen, Emre
dc.contributor.authorTutunculer, Banu
dc.contributor.authorSut, Necdet
dc.contributor.authorColak, Alkin
dc.contributor.authorSagiroglu, Gonul
dc.date.accessioned2024-06-12T11:07:23Z
dc.date.available2024-06-12T11:07:23Z
dc.date.issued2023
dc.departmentTrakya Üniversitesien_US
dc.description.abstractAIM: To compare the incidence of postoperative neuropsychological dysfunction in patients managed with cerebral saturation monitoring versus traditional approaches.MATERIAL and METHODS: A hundred patients undergoing elective intracranial surgery were divided into two groups to receive intraoperative management via cerebral saturation monitoring (Group O) or the conventional approach (Group C). The postoperative neuropsychological function was evaluated by the antisaccadic eye movement test (ASEM) and the Mini-Mental State Examination (MMSE). These tests were performed preoperatively and postoperatively on the first, second, and fifth days. The time for the modified Aldrete score to reach 9 (MAS 9), adverse effects, and pain using a Visual Analog Scale (VAS) scores were recorded.RESULTS: Patient characteristics and surgery data were not statistically different. The MAS 9 of group O was significantly lower than that of group C (p<0.001). The MMSE at the postoperative 1, 2, and 5 days were significantly higher in Group O compared to Group C (p<0.001). ASEM was similar between groups. Group O was subdivided according to the type of surgery applied with diagnosis, and there were no statistically significant between-group differences in terms of areas under the curve for the cerebral regional oxygen saturation. There was no between-group difference regarding the mean arterial pressure at any time perioperatively. The heart rate at 80, 90, 100, and 110 min intraoperatively was significantly higher in group C than in Group O.CONCLUSION: Intraoperative cerebral oxygenation monitoring can reduce patient mortality and morbidity by allowing early postoperative neurological evaluation to detect potential neurocognitive deficits.en_US
dc.description.sponsorshipTrakya University Research Centre [TUBAB 2017-104]en_US
dc.description.sponsorship& nbsp;This study was supported as Project TUBAB 2017-104 by the Trakya University Research Centre. We thank the Department of Anesthesiology and Neurosurgery for their contribution.en_US
dc.identifier.doi10.5137/1019-5149.JTN.37194-21.3
dc.identifier.endpage625en_US
dc.identifier.issn1019-5149
dc.identifier.issue4en_US
dc.identifier.pmid36622187en_US
dc.identifier.scopus2-s2.0-85165517906en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage618en_US
dc.identifier.urihttps://doi.org/10.5137/1019-5149.JTN.37194-21.3
dc.identifier.urihttps://hdl.handle.net/20.500.14551/22011
dc.identifier.volume33en_US
dc.identifier.wosWOS:001038145000012en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Neurosurgical Socen_US
dc.relation.ispartofTurkish Neurosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectKEYWORDSen_US
dc.subjectCerebral Oxygenationen_US
dc.subjectPostoperative Cognitive Dysfunctionen_US
dc.subjectIntracranial Surgeryen_US
dc.subjectNear-Infrared Spectroscopyen_US
dc.subjectMini-Mental Stateen_US
dc.subjectOutcomesen_US
dc.subjectDysfunctionen_US
dc.titleThe Effect of Cerebral Oxygen Saturation Changes on Early Postoperative Neuropsychological Function in Patients Undergoing Cranial Surgeryen_US
dc.typeArticleen_US

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