[A case-control study on the risk factors in postoperative cognitive dysfunction induced by patient self-controlled intravenous analgesia].
OBJECTIVE
To investigate the risk factors in postoperative cognitive dysfunction (POCD) induced by patient self-controlled intravenous analgesia (PCIA).


METHODS
A case-control study included 103 patients with POCD(P group), assessed by Mini-Mental-State test and 103 cognitive normal controls (NP group). The cases and controls were matched for age, gender,history of operation and PCIA volume dose. The relationship between POCD and various factors was analyzed by univariate and multivariate analysis. Spss 11.5 of statistical software was used for data analysis.


RESULTS
Data from univariate analysis showed that the history of cerebral trauma, education level and VAS score had significant differences between P group and NP group. Multivariate analysis conformed that the history of cerebral trauma, VAS score and education level were significantly related to POCD induced by PCIA and their ORs (95% CI) were 4.261 (1.344-13.508), 2.364 (1.209-4.624), 0.312 (0.170-0.573) respectively.


CONCLUSIONS
Patient's history of cerebral trauma and low VAS score were independent risk factors of POCD induced by PCIA and high education level seemed to be a protective factor.
Tan
Wen-Fei
WF
Department of Anesthesiology, First Affiliated Hospital of China Medical University, Shenyang 110001, China.
Zhao
Yun-Hui
YH
Fang
Bo
B
Ma
Hong
H
Wang
Jun-Ke
JK
D000368:Aged; D016058:Analgesia, Patient-Controlled / Q000009:adverse effects*; D016022:Case-Control Studies; D003072:Cognition Disorders / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D012307:Risk Factors