Table 3.
Evolution in specific cognitive functions over 1 year in subjects exposed to general anesthesia (GA, n=184) and regional anesthesia (RA, n=86).
Cognitive function | GA effect |
GA*Timea effect |
||
---|---|---|---|---|
Linear Mixed Model | beta (SE) | p | beta (SE) | p |
Reaction timeb | −0.014(0.019) | 0.46 | 0.0006 (0.002) | 0.80 |
Geometric form association | −0.18 (1.55) | 0.91 | −0.17(0.16) | 0.28 |
Verbal fluency | −0.92 (1.21) | 0.45 | 0.040 (0.069) | 0.56 |
Implicit memory | −0.56 (0.27) | 0.04 | 0.008(0.038) | 0.83 |
Narrative recall | −1.15 (0.96) | 0.23 | 0.014(0.058) | 0.80 |
Logistic Mixed Model | OR [95%CI] | p | OR [95%CI] | p |
Attention dual task | 0.97 [0.57–1.65] | 0.90 | 0.99 [0.92–1.06] | 0.74 |
Constructional praxis | 2.06 [1.03–4.12] | 0.04 | 0.88 [0.80–0.97] | 0.01 |
Logical visual series | 0.79 [0.42–1.51] | 0.48 | 0.96 [0.89–1.05] | 0.39 |
Object naming | 0.78 [0.41–1.49] | 0.45 | 1.01 [0.93–1.10] | 0.75 |
Immediate verbal recall | 1.58 [0.85–2.94] | 0.15 | 0.92 [0.84–1.00] | 0.06 |
Visuospatial span | 1.10 [0.66–1.82] | 0.72 | 1.04 [0.98–1.11] | 0.20 |
Delayed verbal recall | 1.52 [0.67–3.46] | 0.32 | 1.00 [0.90–1.11] | 0.99 |
Delayed visual recall | 1.04 [0.60–1.82] | 0.88 | 0.99 [0.92–1.06] | 0.67 |
Name-face pair recall | 0.87 [0.45–1.70] | 0.69 | 0.97 [0.90–1.05] | 0.50 |
Each (linear or logistic) model included age, gender, education level, time, ASA score, ApoE4, anesthesia type, and, the interaction between time and anesthesia.
time = number of months between inclusion and follow-up.
log-transformed values.