Postoperative delirium:A tragedy for elderly cancer patients  

作　　者：Oguzhan Arun Funda Arun 

机构地区：[1]Department of Anesthesiology and Reanimation,Selcuk University Faculty of Medicine,Konya 42130,Türkiye [2]Department of Pedodontics,Division of Anesthesiology,Selcuk University Faculty of Dentistry,Konya 42130,Türkiye

出　　处：《World Journal of Gastrointestinal Oncology》2024年第9期3765-3770,共6页世界胃肠肿瘤学杂志（英文版）（电子版）

摘　　要：In this editorial,we comment on the article by Hu et al entitled“Predictive modeling for postoperative delirium in elderly patients with abdominal malignancies using synthetic minority oversampling technique”.We wanted to draw attention to the general features of postoperative delirium(POD)as well as the areas where there are uncertainties and contradictions.POD can be defined as acute neurocognitive dysfunction that occurs in the first week after surgery.It is a severe postoperative complication,especially for elderly oncology patients.Although the underlying pathophysiological mechanism is not fully understood,various neuroinflammatory mechanisms and neurotransmitters are thought to be involved.Various assessment scales and diagnostic methods have been proposed for the early diagnosis of POD.As delirium is considered a preventable clinical entity in about half of the cases,various early prediction models developed with the support of machine learning have recently become a hot scientific topic.Unfortunately,a model with high sensitivity and specificity for the prediction of POD has not yet been reported.This situation reveals that all health personnel who provide health care services to elderly patients should approach patients with a high level of awareness in the perioperative period regarding POD.

关 键 词：DELIRIUM ANESTHESIA Neurocognitive dysfunction Postoperative cognitive dysfunction Prevention Risk management Synthetic minority oversampling technique Postoperative delirium Elderly patients Abdominal cancer 

分 类 号：R735.34[医药卫生—肿瘤]