There is ample rationale for institutions and clinicians embracing the concept of perioperative brain health to incorporate years of formal education as a routine preoperative screening question. Although not perfect, years of formal education is a good surrogate measure of premorbid intellect and cognitive reserve, based on a hypothesis that education may be protective against later cognitive decline, including protection from neurological insult and neurodegeneration (J Consult Clin Psych 1984;52:885-7; Neuropsychology 1996;7:273-95; Neuropsychology 2015;29:649-57; Clin Neuropsychol 2021;36:1291-5; Handb Clin Neurol 2019;167:181-90). Years of formal education is a predictor of postoperative cognitive decline, delirium, and postoperative emergency department visits (Anesthesiology 2008;108:18-30; Lancet 1998;351:857-61; Ann Thorac Surg 1995;59:1326-30; Anesth Analg 2021;132:846-55; J Laparoendosc Adv Surg Tech A 2018;28:1100-4). Years of education is associated with health literacy and comprehension of perioperative patient materials (Arthrosc Sports Med Rehabil 2022;4:e1575-9). Acquiring...
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Your Patient's Brain| May 2023
Adding ‘Formal Years of Education’ to Patients' Preoperative Screening
ASA Monitor May 2023, Vol. 87, 1–4.
Catherine Price, Daniel J. Cole; Adding ‘Formal Years of Education’ to Patients' Preoperative Screening. ASA Monitor 2023; 87:1–4 doi: https://doi.org/10.1097/01.ASM.0000935232.57361.7f
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