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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Evaluar la incidencia y caracter&#237;sticas de la alteraci&#243;n postoperatoria de las funciones cerebrales superiores en los pacientes sometidos a cirug&#237;a intracraneal electiva bajo anestesia general&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio prospectivo de 60 pacientes ASA I-III&#44; de edades comprendidas entre los 18 y 81 a&#241;os&#44; intervenidos quir&#250;rgicamente por el Servicio de Neurocirug&#237;a de nuestro Hospital&#44; distribuidos en dos grupos de 30 pacientes cada uno&#58; grupo cirug&#237;a intracraneal&#44; pacientes sometidos a cirug&#237;a por procesos intracraneales&#44; y grupo cirug&#237;a extracraneal o grupo control&#44; pacientes intervenidos de columna cervical o lumbar&#46; Se registraron los datos demogr&#225;ficos de edad&#44; sexo&#44; peso&#44; talla&#44; as&#237; como h&#225;bitos&#44; enfermedades coexistentes y medicaci&#243;n habitual&#46; A todos los pacientes se les realiz&#243; el test mental abreviado &#40;AMT&#41; el d&#237;a previo a la intervenci&#243;n quir&#250;rgica y a las 2 y 24 horas del periodo postoperatorio&#46; Todos los pacientes fueron sometidos a la misma t&#233;cnica anest&#233;sica&#46; Fueron excluidos los pacientes que presentaron un AMT preoperatorio &#8804; 8&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">No hubo diferencias en los datos demogr&#225;ficos&#44; duraci&#243;n de la cirug&#237;a&#44; estado f&#237;sico ASA y consumo de alcohol y tabaco&#46; No se hallaron diferencias significativas entre grupos en la puntuaci&#243;n media obtenida en el AMT realizado el d&#237;a antes de la cirug&#237;a&#44; que fue de 9&#44;87<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>0&#44;35 para los pacientes sometidos a cirug&#237;a intracraneal y de 9&#44;80<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>0&#46;41 para los pacientes intervenidos de columna&#46; As&#237; mismo&#44; no se observaron diferencias significativas entre los dos grupos en el AMT realizado a la 2 y 24 horas del postoperatorio&#58; 4 de los pacientes sometidos a cirug&#237;a intracraneal presentaron una puntuaci&#243;n en el AMT &#8804; 8 a las 2 horas de finalizada la cirug&#237;a&#44; y 3 pacientes del mismo grupo&#44; a las 24 horas del postoperatorio&#59; tan solo 2 pacientes intervenidos de columna presentaron una puntuaci&#243;n en el AMT &#8804; 8 a las 2 horas de finalizada la cirug&#237;a y ninguno a las 24 horas del postoperatorio&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Seg&#250;n los resultados obtenidos en este estudio podemos concluir que los pacientes sometidos a cirug&#237;a intracraneal no sufren alteraciones de la funci&#243;n cognitiva ni de la atenci&#243;n durante las primeras 24 horas del postoperatorio&#44; evaluados mediante el AMT&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To assess the incidence and characteristics of postoperative changes in the higher cerebral functions after elective intracranial surgery under general anesthesia&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">This is a prospective study of 60 patients&#44; aged 18&#8211;81 years&#44; submitted to neurosurgical operations&#44; allocated into two groups of 30 patients each&#58; intracranial surgery group&#44; patients submitted to craniotomy&#44; and extracranial surgery group or control group&#44; patients submitted to spinal procedures&#46; All patients were given the Abbreviated Mental Test &#40;AMT&#41; on the day before to the operation&#44; and then 2 and 24 hours after the end of the procedure&#46; All individuals were managed with the same anesthetic technique&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">No differences in regard to demographics&#44; duration of the operation&#44; ASA physical state&#44; and habits were found between the two groups&#46; No differences in the pre-surgical and post-surgical AMT mean score were encountered between patients submitted to intracranial 9&#46;87<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>0&#46;35 or to spinal surgeries 9&#46;80<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>0&#46;41&#46; Similarly&#44; there were no significant differences between the two groups in the results of the AMT performed at 2 and 24 hours after the end of the surgeries&#46; Only two subjects undergoing spinal procedures had a score of &#8804; 8 in the AMT performed 2-hours after the operation&#44; while none showed a decrease in the 24-hour test score&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Patients submitted to intracranial surgery did not show any changes in cognitive or attention functions during the first postoperative 24 hours as assessed by the AMT&#46;</p>"
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Vol. 17. Núm. 2.
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Vol. 17. Núm. 2.
Páginas 119-124 (enero 2005)
Delirio postoperatorio en pacientes neuroquirúrgicos: evaluación mediante el Test Mental Abreviado
Postoperative delirium in patient neurosurgical: evaluation by means of the Abbreviated Mental Test
Visitas
1937
J. Hernández-Palazón
, P. Doménech-Asensi, S. Burguillos-López
Servicio de Anestesiología y Reanimación. Hospital Universitario Virgen de la Arrixaca. Murcia
M.A. Pérez-Espejo*, F. López-Hernández*, J.F. Martínez-Lage*
*. Servicio Regional de Neurocirugía. Hospital Universitario Virgen de la Arrixaca. Murcia
Este artículo ha recibido
Información del artículo
Resumen
Objetivo

Evaluar la incidencia y características de la alteración postoperatoria de las funciones cerebrales superiores en los pacientes sometidos a cirugía intracraneal electiva bajo anestesia general.

Pacientes y método

Estudio prospectivo de 60 pacientes ASA I-III, de edades comprendidas entre los 18 y 81 años, intervenidos quirúrgicamente por el Servicio de Neurocirugía de nuestro Hospital, distribuidos en dos grupos de 30 pacientes cada uno: grupo cirugía intracraneal, pacientes sometidos a cirugía por procesos intracraneales, y grupo cirugía extracraneal o grupo control, pacientes intervenidos de columna cervical o lumbar. Se registraron los datos demográficos de edad, sexo, peso, talla, así como hábitos, enfermedades coexistentes y medicación habitual. A todos los pacientes se les realizó el test mental abreviado (AMT) el día previo a la intervención quirúrgica y a las 2 y 24 horas del periodo postoperatorio. Todos los pacientes fueron sometidos a la misma técnica anestésica. Fueron excluidos los pacientes que presentaron un AMT preoperatorio ≤ 8.

Resultados

No hubo diferencias en los datos demográficos, duración de la cirugía, estado físico ASA y consumo de alcohol y tabaco. No se hallaron diferencias significativas entre grupos en la puntuación media obtenida en el AMT realizado el día antes de la cirugía, que fue de 9,87±0,35 para los pacientes sometidos a cirugía intracraneal y de 9,80±0.41 para los pacientes intervenidos de columna. Así mismo, no se observaron diferencias significativas entre los dos grupos en el AMT realizado a la 2 y 24 horas del postoperatorio: 4 de los pacientes sometidos a cirugía intracraneal presentaron una puntuación en el AMT ≤ 8 a las 2 horas de finalizada la cirugía, y 3 pacientes del mismo grupo, a las 24 horas del postoperatorio; tan solo 2 pacientes intervenidos de columna presentaron una puntuación en el AMT ≤ 8 a las 2 horas de finalizada la cirugía y ninguno a las 24 horas del postoperatorio.

Conclusiones

Según los resultados obtenidos en este estudio podemos concluir que los pacientes sometidos a cirugía intracraneal no sufren alteraciones de la función cognitiva ni de la atención durante las primeras 24 horas del postoperatorio, evaluados mediante el AMT.

Palabras clave:
Delirium postoperatorio
Test Mental Abreviado
Anestesia general
Neurocirugía
Craneotomía
Abreviaturas:
ASA
AMT
Summary
Objectives

To assess the incidence and characteristics of postoperative changes in the higher cerebral functions after elective intracranial surgery under general anesthesia.

Patients and methods

This is a prospective study of 60 patients, aged 18–81 years, submitted to neurosurgical operations, allocated into two groups of 30 patients each: intracranial surgery group, patients submitted to craniotomy, and extracranial surgery group or control group, patients submitted to spinal procedures. All patients were given the Abbreviated Mental Test (AMT) on the day before to the operation, and then 2 and 24 hours after the end of the procedure. All individuals were managed with the same anesthetic technique.

Results

No differences in regard to demographics, duration of the operation, ASA physical state, and habits were found between the two groups. No differences in the pre-surgical and post-surgical AMT mean score were encountered between patients submitted to intracranial 9.87±0.35 or to spinal surgeries 9.80±0.41. Similarly, there were no significant differences between the two groups in the results of the AMT performed at 2 and 24 hours after the end of the surgeries. Only two subjects undergoing spinal procedures had a score of ≤ 8 in the AMT performed 2-hours after the operation, while none showed a decrease in the 24-hour test score.

Conclusions

Patients submitted to intracranial surgery did not show any changes in cognitive or attention functions during the first postoperative 24 hours as assessed by the AMT.

Key words:
Postoperative delirium
Abbreviated mental test
General anesthesia
Neurosurgery
Craniotomy

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