Prevalencia de trastornos cognitivos posoperatorios y factores asociados en adultos mayores bajo sedación en endoscopia alta y baja. Hospitales Vicente Corral Moscoso y José Carrasco Arteaga. Cuenca, 2019

Abstract

Introduction: According to world statistics, the increase in survival of the population over 60 years of age is increasing, when they undergo surgery, they are at greater risk of presenting postoperative cognitive disorders. The described incidence ranges between 5 and 50%, according to age, sex, level of education, comorbidities, type of surgical procedure, type of anesthesia, among others. Objective: To determine the prevalence of postoperative cognitive disorders and associated factors in older adults under sedation in high and low endoscopy at the Vicente Corral Moscoso and José Carrasco Arteaga Hospitals 2019. Materials and methods: a cross-sectional and analytical observational study was carried out. The universe was made up of all the patients who underwent high and low endoscopy, under sedation, met the inclusion criteria; The sample was representative and random. The following criteria were taken into account for its calculation: 95% confidence level, percentage of variation and 5% margin of error. Results: the prevalence of post-operative cognitive impairment was 10.7%. Of the population studied, the majority in the age range was 65-75, the male sex (50.2%), the level of primary education (47.4%). The associated factors were being over 85 years old (43.5%), lack of schooling (21.7%), having both procedures performed (34.8%), duration of the procedure greater than 30 minutes (52.2%), use of Propofol (30.4%) and mean arterial pressure below 65 mmHg (73.9%).