Summary of the Article: Daytime Sleepiness and Postoperative Cognitive Decline
This article discusses aโข study highlighting a potential link between โ excessive daytime sleepiness and anโค increased risk of postoperative โขneurocognitiveโฃ disordersโ (PNDs), particularly in older adults undergoing โsurgery.
Key โFindings:
* Prevalence: Up to 20% โof adults experience โdaytime sleepiness, โฃand it mayโ be a previously overlookedโ risk factor for PNDs.
* PNDs: These disorders affect up to 40% of older patients after surgery, manifesting as delirium (sudden confusion) or longer-term cognitive issues like memory problems and difficulty concentrating.They can considerablyโ impact quality of life and hospital stay length.
* โ Study results: A study of 96 patients aged 60+ found that those with moderate โคto โขsevere daytime sleepiness were more likely to experience greater cognitive decline six weeks โafter non-cardiac surgery.โ Specifically, 17.1% of patients experienced PNDs, and thoseโค with pre-existingโ sleepiness showed โคmore significant cognitive decline.
* Importance of Screening: The researchers suggest that asking patientsโ (and their families) about daytime sleepiness coudl be a valuable part of preoperative evaluations.
*โ Causesโ of sleepiness: Excessive daytime sleepiness isn’t a โnormal part of aging and can be caused by poor sleep, sleep disorders (likeโฃ sleep apnea),โข medications, or other health conditions.
Recommendations:
*โค Family/Caregiver Involvement: โค Families and caregivers should spendโ time with patients and alert the healthcareโข team to โฃany new signsโฃ of cognitive issues (memory problems, inattention, agitation).
* Supportive Care: Healthcareโ teams should focus on re-orienting patients,encouraging earlyโ mobility,and ensuring adequate โคnutrition and โhydration.
* good Sleep Hygiene: โ Practicing good sleep habits (regular schedule, sunlight, activity, limiting caffeine/alcohol, comfortable bedroom) can definitely help.
* Medical Evaluation: Persistent โdaytime sleepiness should be evaluated by a doctor or sleep specialist.
* Future Research: Further studies are needed to confirmโ the link between daytime sleepiness โขand PNDs andโ to explore whether treating sleepiness can reduce theโฃ risk of pnds.
Source: โข American Society of Anesthesiologists.

