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To investigate the effects of total knee replacement is harmful to Postoperative cognitive dysfunction
Postoperative cognitive dysfunction (POCD) is reported to occur after major surgery in elderly patients. They may especially experience problems in the weeks and months after surgery. Recent studies vary greatly in methods of evaluation and diagnosis of POCD, and the pathogenic mechanisms are still unclear. The investigators evaluated a large uniform cohort of elderly patients in a standardized approach after total knee replacement.
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| Measure | Description | Time Frame |
|---|---|---|
| Effects of operation on early postoperative cognitive function in elderly patients | up to 7days postoperatively |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative cognitive dysfunction (POCD) was defined by Mini-Mental State Examination (MMSE) score | up to 7days postoperatively |
| Measure | Description | Time Frame |
|---|---|---|
| serum concentration of inflammatory cytokine | The blood samples were reserved before anesthesia induction and 24h after surgery for detecting the concentrations of IL-1, IL-6, and IL-10 by enzyme-linked immunosorbent assay (ELISA). | The blood samples were reserved before anesthesia induction and 24h after surgery |
Inclusion Criteria:
Exclusion Criteria:
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We included 96 ASA I or Ⅱ patients aged ≥65 years performed total knee replacement under general anesthesia.
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| ID | Term |
|---|---|
| D000079690 | Postoperative Cognitive Complications |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D060825 | Cognitive Dysfunction |
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Serum
| D003072 | Cognition Disorders |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |