Which Predictor, SctO2 or SstO2, Is more Sensitive for Postoperative Cognitive Dysfunction in Spine Surgery: A Prospective Observational Study?

ABSTRACT:

Objective

Patients undergoing spinal surgery in the prone position may experience venous stasis, often resulting in edema in dependent areas of the body, including the head, and increased postoperative cognitive dysfunction (POCD). Not only does POCD present challenges for post-operative care and recovery, it can also cause permanent damage to the patient's brain and increase mortality and social costs. We aimed to clarify the incidence of POCD in patients with hypertension after prone spine surgery and to further determine the association between intraoperative somatic tissue oxygen saturation (SstO2)/cerebral tissue oxygen saturation (SctO2) and POCD.

Methods

Patients with hypertension scheduled for open prone spine surgery from January 2020 to April 2021 were included in

SUBMITTER: Guo F 

PROVIDER: S-EPMC9837245 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature