The British Journal of Psychiatry
Risk of dementia after anaesthesia and surgery
Pin-Liang Chen, Chih-Wen Yang, Yi-Kuan Tseng, Wei-Zen Sun, Jane-Ling Wang, Shuu-Jiun Wang, Yen-Jen Oyang, Jong-Ling Fuh
  • Declaration of interest

    None.

Abstract

Background

The potential relationship between anaesthesia, surgery and onset of dementia remains elusive.

Aims

To determine whether the risk of dementia increases after surgery with anaesthesia, and to evaluate possible associations among age, mode of anaesthesia, type of surgery and risk of dementia.

Method

The study cohort comprised patients aged 50 years and older who were anaesthetised for the first time since 1995 between 1 January 2004 and 31 December 2007, and a control group of randomly selected patients matched for age and gender. Patients were followed until 31 December 2010 to identify the emergence of dementia.

Results

Relative to the control group, patients who underwent anaesthesia and surgery exhibited an increased risk of dementia (hazard ratio = 1.99) and a reduced mean interval to dementia diagnosis. The risk of dementia increased in patients who received intravenous or intramuscular anaesthesia, regional anaesthesia and general anaesthesia.

Conclusions

The results of our nationwide, population-based study suggest that patients who undergo anaesthesia and surgery may be at increased risk of dementia.

Footnotes

  • Funding

    The study was supported by grants from Taipei Veterans General Hospital (V101C-105, VGHUST101-G7-1-2), National Science Council support for the Centre for Dynamical Biomarkers and Translational Medicine, National Central University, Taiwan (NSC 100-2911-I-008-001), support from the Brain Research Centre at National Yang-Ming University and a grant from the Taiwanese Ministry of Education’s Aim for the Top university plan. J.L.W.’s work was supported, in part, by a National Institutes of Health grant (R01AG025218-01).

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