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Вопросы современной педиатрии

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Диагностика послеоперационной когнитивной дисфункции у детей

https://doi.org/10.15690/vsp.v20i1.2233

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Аннотация

Для диагностики послеоперационной когнитивной дисфункции у детей могут быть использованы нейропсихологические тесты, отличающиеся привлекательностью, доступностью и небольшой продолжительностью тестирования. Этим требованиям отвечают корректурные пробы, матрицы Равена, различные модификации тестов на запоминание слов. Оптимальной представляется комплексная оценка когнитивных функций, в частности с применением шкалы MMSE и батарей компьютерных тестов.

Об авторах

Л. С. Золотарева
Российский национальный исследовательский медицинский университет им. Н.И. Пирогова
Россия

Золотарева Любовь Святославовна - младший научный сотрудник отдела реконструктивной и пластической хирургии НИИ клинической хирургии РНИМУ им. Н.И. Пирогова.
123001, Москва, ул. Садовая-Кудринская, д. 15, стр. 3.


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А. A. Запуниди
Московский государственный университет им. М.В. Ломоносова
Россия
Москва.
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А. В. Адлер
Детская городская клиническая больница № 13 им. Н.Ф. Филатова
Россия
Москва.
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С. М. Степаненко
Российский национальный исследовательский медицинский университет им. Н.И. Пирогова
Россия
123001, Москва, ул. Садовая-Кудринская, д. 15, стр. 3.
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О. Н. Папонов
Московский государственный университет им. М.В. Ломоносова
Россия
Москва.
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Список литературы

1. Zakharov VV. Kognitivnye narusheniya v nevrologicheskoi praktike. Trudnyi patsient. 2005;3(5):4-9. (In Russ).

2. Berger M, Nadler J, Browndyke J, et al. Postoperative Cognitive Dysfunction: Minding the Gaps in our Knowledge of A Common Postoperative Complication in the Elderly. Anesthesiol Clin. 2015; 33(3):517-550. doi: 10.1016/j.anclin.2015.05.008

3. DiMaggio C, Sun LS, Ing C, Li G. Pediatric anesthesia and neurodevelopmental impairments: a Bayesian meta-analysis. J Neurosurg Anesthesiol. 2012;24(4):376-381. doi: 10.1097/ANA.0b013e31826a038d

4. Sinner B, Becke K, Engelhard K. General anaesthetics and the developing brain: an overview. Anaesthesia. 2014;69(9): 1009-1022. doi: 10.1111/anae.12637

5. McCann ME, de Graaff JC, Dorris L, et al. Neurodevelopmental outcome at 5 years of age after general anaesthesia or awake-regional anaesthesia in infancy (GAS): an international, multicentre, randomised, controlled equivalence trial. Lancet. 2019;393(10172): 664-677. doi: 10.1016/S0140-6736(18)32485-1.

6. Sun LS, Li G, Miller TL, et al. Association Between a Single General Anesthesia Exposure Before Age 36 Months and Neuro-cognitive Outcomes in Later Childhood. JAMA. 2016;315(21): 2312-2320. doi: 10.1001/jama.2016.6967

7. Warner DO, Zaccariello MJ, Katusic SK, et al. Neuropsychological and Behavioral Outcomes after Exposure of Young Children to Procedures Requiring General Anesthesia: The Mayo Anesthesia Safety in Kids (MASK) Study. Anesthesiology. 2018;129(1):89-105. doi: 10.1097/ALN.0000000000002232

8. Schneuer FJ, Bentley JP, Davidson AJ, et al. The impact of general anesthesia on child development and school performance: a population-based study. Paediatr Anaesth. 2018;28(6):528-536. doi: 10.1111/pan.13390

9. Ing C, Sun M, Olfson M, et al. Age at Exposure to Surgery and Anesthesia in Children and Association With Mental Disorder Diagnosis. Anesth Analg. 2017;125(6):1988-1998. doi: 10.1213/ANE.0000000000002423

10. Millar K, Bowman AW, Burns D, et al. Children's cognitive recovery after day-case general anesthesia: a randomized trial of propofol or isoflurane for dental procedures. Paediatr Anaesth. 2014;24(2):201-207. doi: 10.1111/pan.12316

11. Yin J, Wang SL, Liu XB. The effects of general anaesthesia on memory in children: a comparison between propofol and sevoflurane. Anaesthesia. 2014;69(2):118-123. doi: 10.1111/anae.12504

12. Morgan SF, Furman EB, Dikmen S. Psychological effects of general anesthesia on five- to eight-year-old children. Anesthesiology. 1981;55(4):386-391. doi: 10.1097/00000542-198110000-00009

13. Ovezov AM, Lobov MA, Panteleeva MV, et al. Correction of early cognitive disorders in school-age children operated under total intravenous anaesthesia. Russian Journal of Anaesthesiology and Reanimatology (Anesteziologiya i Reanimatologiya). 2012;(3): 25-29. (In Russ.)

14. Ovezov AM, Lobov MA, Mashkov AE, et al. Primenenie sevoflurana dlya ingalyatsionnoi induktsii i podderzhaniya anestezii u detei raznogo vozrasta. Poliklinika. 2013:(2):47-50. (In Russ).

15. Rasmussen LS, Larsen K, Houx P, et al. The assessment of postoperative cognitive function. Acta Anaesthesiol Scand. 2001;45(3): 275-289. doi: 10.1034/j.1399-6576.2001.045003275.x

16. Newman S, Stygall J, Hirani S, et al. Postoperative cognitive dysfunction after noncardiac surgery: a systematic review. Anesthesiology. 2007;106(3):572-590. doi: 10.1097/00000542200703000-00023

17. Evered L, Silbert B, Knopman DS, et al.; Nomenclature Consensus Working Group. Recommendations for the nomenclature of cognitive change associated with anaesthesia and sur-gery-2018. Br J Anaesth. 2018;121(5):1005-1012. doi: 10.1016/j.bja.2017.11.087

18. American Psychiatric Association (APA). Diagnostic and statistical manual of mental disorders. 5th ed. Arlington, Virginia: American Psychiatric Publishing; 2013.

19. Lewis M, Maruff P, Silbert B. Statistical and conceptual issues in defining post-operative cognitive dysfunction. Neurosci Biobehav Rev. 2004;28(4):433-440. doi: 10.1016/j.neubiorev.2004.05.002

20. Silverstein JH. Cognition, anesthesia, and surgery. Int Anesthesiol Clin. 2014;52(4):42-57. doi: 10.1097/AIA.0000000000000032

21. Hanning CD. Postoperative cognitive dysfunction. Br J Anaesth. 2005;95(1):82-87. doi: 10.1093/bja/aei062

22. Mahanna EP, Blumenthal JA, White WD, et al. Defining neuropsychological dysfunction after coronary artery bypass grafting. Ann Thorac Surg. 1996;61(5):1342-1347. doi: 10.1016/0003-4975(95)01095-5

23. Zolotareva LS, Paponov ON, Stepanenko SM, et al. Influence of general anesthesia for tonsillotomy and adenotomy to cognitive functions in children. Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2020;10(2):173-182. (In Russ). doi: 10.17816/psaic564

24. Zolotareva LS, Paponov ON, Stepanenko SM, et al. Prevention of cognitive disorders in the postoperative period in preschoolers. Voprosy prakticheskoi pediatrii. 2020;15(4):92-99. (In Russ). doi: 10.20953/18177646-2020-4-92-99

25. Tsai TL, Sands LP, Leung JM. An update on postoperative cognitive dysfunction. Adv Anesth. 2010;28(1):269-284. doi: 10.1016/j.aan.2010.09.003

26. Glozman ZhM, Potanina AYu, Soboleva AE. Neiropsikhologicheskaya diagnostika v doshkol'nom vozraste. St. Petersburg: Piter; 2006. 80 p. (In Russ).

27. Larner A. Cognitive screening instruments. 2nd ed. London: Springer; 2017.

28. Biester RC. Outcome scales and neuropsychological outcome. In: Monitoring in Neurocritical Care. Le Roux P, Levine J, Kofke W, eds. Philadelphia: Elsevier Inc.; 2013. p. 107.

29. Rohan D, Buggy DJ, Crowley S. Increased incidence of postoperative cognitive dysfunction 24 h after surgery in the elderly. Can J Anaesth. 2005;52(2):137-142. doi: 10.1007/BF03027718

30. Jain M, Passi GR. Assessment of a modified Mini-Mental Scale for cognitive functions in children. Indian Pediatr. 2005;42(9):907-912.

31. Royse CF, Newman S, Chung F, et al. Development and feasibility of a scale to assess postoperative recovery: the post-operative quality recovery scale. Anesthesiology. 2010;113(4):892-905. doi: 10.1097/ALN.0b013e3181d960a9

32. Lindqvist M, Royse C, Brattwall M, et al. Post-operative quality of recovery scale: the impact of assessment method on cognitive recovery. Acta Anaesthesiol Scand. 2013;57(10):1308-1312. doi: 10.1111/aas.12185

33. Culley DJ, Flaherty D, Reddy S, et al. Preoperative cognitive stratification of older elective surgical patients: a cross-sectional study. Anesth Analg. 2016;123(1):186-192. doi: 10.1213/ANE.0000000000001277

34. Semenovich AV. Vvedenie v neiropsikhologiyu detskogo vozrasta. Moscow: Genezis; 2005. 319 p. (In Russ).

35. Akhutina TV, Kremlev AE, Korneev AA, et al. Razrabotka komp'yuternykh metodik neiropsikhologicheskogo obsledovaniya. In: Kognitivnaya nauka v Moskve: novye issledovaniya. Conference proceedigs June 15, 2017. Pechenkova EV, Falikman MV, eds. Moscow: OOO “Buki Vedi”; 2017. pp. 486-490. (In Russ).

36. Akhmetzyanova AI. Praktikum po kl inicheskoi psikhologii. Kazan; 2013. (In Russ).

37. Akhutina TV, Korneev AA, Matveeva EYu, Agris AR. Age-related changes of higher mental functions in 7-9-years old children with different types of state regulation deficits. Psychology. Journal of the Higher School of Economics. 2015;12(3):131-152. (In Russ).

38. Rubanova NA. Vnimanie u starshikh doshkol'nikov: ehksperimental'noe issledovanie. Traditsionnye natsional’no-kul’turnye i dukhovnye tsennosti kak fundament innovatsionnogo razvitiya Rossii. 2017;(2): 55-57. (In Russ).

39. Dolgopolova VA. Features of readiness for schooling preschoolers and younger students with visual impairments. Psikhologiya i pedagogika v Krymu: puti razvitiya. 2019;(2):148-158. (In Russ).

40. Ovezov AM, Lobov MA, Nad'kina ED, et al. Citicoline in the prevention of postoperative cognitive dysfunction during total intravenous anesthesia. Annals of Clinical and Experimental Neurology. 2013;7(2):27-32. (In Russ).

41. Maleva OV, Trubnikova OA, Kukhareva IN, et al. Changes in cognitive status of patients undergoing simultaneous coronary artery bypass grafting and carotid endarterectomy. Russian Journal of Thoracic and Cardiovascular Surgery. 2018;60(4): 317-324. (In Russ). doi: 10.24022/0236-2791-2018-60-4-317-324

42. Argunova YuA, Trubnikova OA, Pomeshkina SA, et al. Effektivnost' velotrenirovok v reabilitatsii patsientov s posleoperatsionnoi kognitivnoi disfunktsiei posle koronarnogo shuntirovaniya. CardioSomatics. 2017;8(1):11. (In Russ).

43. Polunina AG, Davydov DM. Viskonsinskii test sortirovki karto-chek kak instrument otsenki kognitivnykh funktsii. In: Sotsial'naya psikhiatriya. Dmitrieva TB, ed. Moscow: Izdatel'stvo GNTs SSP im. VP Serbskogo; 2004. pp. 217-236. (In Russ).

44. Raven D, Kort DZh. Rukovodstvo dlya progressivnykh matrits Ravena i slovarnykh shkal. Moscow: Kogito-Tsentr; 2002. (In Russ).

45. Lucio PS, Cogo-Moreira H, Puglisi M, et al. Psychometric Investigation of the Raven's Colored Progressive Matrices Test in a Sample of Preschool Children. Assessment. 2019;26(7): 1399-1408. doi: 10.1177/1073191117740205

46. Gualtieri CT, Johnson LG. Reliability and validity of a computerized neurocognitive test battery. CNS Vital Signs. Arch Clin Neuropsychol. 2006;21(7):623-643. doi: 10.1016/j.acn.2006.05.007

47. Liller KD, Morris B, Fillion J, et al. Analysis of Baseline Computerized Neurocognitive Testing Results among 5-11-Year-Old Male and Female Children Playing Sports in Recreational Leagues in Florida. Int J Environ Res Public Health. 2017;14(9):1028. doi: 10.3390/ijerph14091028

48. Womble MN, Reynolds E, Schatz P, et al. Test-Retest Reliability of Computerized Neurocognitive Testing in Youth Ice Hockey Players. Arch Clin Neuropsychol. 2016;31(4):305-312. doi: 10.1093/arclin/acw011

49. Bredlau AL, Harel BT, McDermott MP, et al. Neurocognitive Changes after Sustained Ketamine Administration in Children with Chronic Pain. J Palliat Care Med. 2015;5(2):215. doi: 10.4172/2165-7386.1000215

50. De Oliveira MO, Maria S, Brucki D. Computerized Neurocog-nitive Test (CNT) in mild cognitive impairment and Alzheimer's disease. Dement Neuropsychol. 2014;8(2):112-116. doi: 10.1590/ S1980-57642014DN82000005

51. Gualtieri CT. Computerized neurocognitive testing and its potential for modern psychiatry. Psychiatry. 2004;1(2):29-36.

52. Snyder PJ, Jackson CE, Petersen RC, et al. Assessment of cognition in mild cognitive impairment: a comparative study. Alzheimers Dement. 2011;7(3):338-355. doi: 10.1016/j.jalz.2011.03.009

53. Maruff P, Lim YY, Darby D, et al. Clinical utility of the cogstate brief battery in identifying cognitive impairment in mild cognitive impairment and Alzheimer's disease. BMC Pharmacol Toxicol. 2013; 1(1):30. doi: 10.1186/2050-7283-1-30

54. Falleti MG, Maruff P, Collie A, Darby DG. Practice effects associated with the repeated assessment of cognitive function using the CogState battery at 10-minute, one week and one month test-retest intervals. J Clin Exp Neuropsychol. 2006;28(7):1095-112. doi: 10.1080/13803390500205718

55. Strang-Karlsson S, Andersson S, Paile-Hyvarinen M, et al. Slower reaction times and impaired learning in young adults with birth weight <1500 g. Pediatrics. 2010;125(1):e74-e82. doi: 10.1542/peds.2009-1297

56. Padmanabhan U, Leslie K, Eer AS, et al. Early cognitive impairment after sedation for colonoscopy: the effect of adding midazolam and/or fentanyl to propofol. Anesth Analg. 2009;109(5): 1448-1455. doi: 10.1213/ane.0b013e3181a6ad31

57. Allen M, Leslie K, Hebbard G, et al. A randomized controlled trial of light versus deep propofol sedation for elective outpatient colonoscopy: recall, procedural conditions, and recovery. Can J Anesth Can Anesth. 2015;62(11):1169-1178. doi: 10.1007/s12630-015-0463-3

58. Kok WF, Koerts J, Tucha O, et al. Neuronal damage biomarkers in the identification of patients at risk of long term postoperative cognitive dysfunction after cardiac surgery. Anaesthesia. 2017;72(3):359-369. doi: 10.1111/anae.13712

59. Heitzer AM, Ashford JM, Harel BT, et al. Computerized assessment of cognitive impairment among children undergoing radiation therapy for medulloblastoma. J Neurooncol. 2019;141(2): 403-411. doi: 10.1007/s11060-018-03046-2

60. Sands SA, Harel BT, Savone M, et al. Feasibility of baseline neurocognitive assessment using Cogstate during the first month of therapy for childhood leukemia. Support Care Cancer. 2017;25(2):449-457. doi: 10.1007/s00520-016-3422-9

61. Gershon RC, Wagster MV, Hendrie HC, et al. NIH toolbox for assessment of neurological and behavioral function. Neurology. 2013;80(11 Suppl 3):S2-S6. doi: 10.1212/WNL.0b013e3182872e5f

62. Akshoomoff N, Brown TT, Bakeman R, Hagler DJ. Developmental differentiation of executive functions on the NIH Toolbox Cognition Battery. Neuropsychology. 2018;32(7):777-783. doi: 10.1037/neu0000476

63. Akshoomoff N, Newman E, Thompson WK, et al. The NIH Toolbox Cognition Battery: results from a large normative developmental sample (PING). Neuropsychology. 2014;28(1):1-10. doi: 10.1037/neu0000001

64. Weintraub S, Bauer PJ, Zelazo PD, et al. NIH Toolbox Cognition Battery (CB): introduction and pediatric data. Monogr Soc Res Child Dev. 2013;78(4):1-15. doi: 10.1111/mono.12031

65. Strimbu K, Tavel JA. What are biomarkers? Curr Opin HIV AIDS. 2010;5(6):463-466. doi: 10.1097/COH.0b013e32833ed177

66. Istaphanous GK, Ward CG, Nan X, et al. Characterization and Quantification of Isoflurane-Induced Developmental Apoptotic Cell Death in Mouse Cerebral Cortex. Anesth Analg. 2013;116(4): 845-854. doi: 10.1213/ANE.0b013e318281e988

67. Peng L, Xu L, Ouyang W. Role of peripheral inflammatory markers in postoperative cognitive dysfunction (POCD): a metaanalysis. PLoS One. 2013;8(11):e79624. doi: 10.1371/journal.pone.0079624

68. Huang C, Martensson J, Gogenur I, Asghar MS. Exploring Postoperative Cognitive Dysfunction and Delirium in Noncardiac Surgery Using MRI: A Systematic Review. Neural Plast. 2018; 2018:1281657. doi: 10.1155/2018/1281657

69. Altabella L, Zoratto F, Adriani W, et al. MR imaging-detectable metabolic alterations in attention deficit/hyperactivity disorder: from preclinical to clinical studies. AJNR Am J Neuroradiol. 2014; 35(6 Suppl):S55-S63. doi: 10.3174/ajnr.A3843

70. Levy RJ, Herbstman JB, Bosnjak ZJ, et al. Biomarkers, Genetics, and Epigenetic Studies to Explore the Neurocognitive Effects of Anesthesia in Children. J Neurosurg Anesthesiol. 2016;28(4): 384-388. doi: 10.1097/ANA.0000000000000351


Для цитирования:


Золотарева Л.С., Запуниди А.A., Адлер А.В., Степаненко С.М., Папонов О.Н. Диагностика послеоперационной когнитивной дисфункции у детей. Вопросы современной педиатрии. 2021;20(1):23-30. https://doi.org/10.15690/vsp.v20i1.2233

For citation:


Zolotareva L.S., Zapunidi A.A., Adler A.V., Stepanenko S.M., Paponov O.N. Post-Surgery Cognitive Dysfunction Diagnostics in Children. Current Pediatrics. 2021;20(1):23-30. (In Russ.) https://doi.org/10.15690/vsp.v20i1.2233

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