Evaluation of Postoperative Cognitive Function in Patients Undergoing General or Spinal Anesthesia During Extremity Surgery: A Prospective Cohort Study
Abstract
Introduction: This research investigates the impact of general anesthesia (GA) and spinal anesthesia (SA) on cognitive function following extremity surgery.Methods: A prospective cohort study was conducted with 60 patients (30 GA, 30 SA) undergoing elective extremity surgery.Cognitive function was assessed preoperatively and at 4 and 24 hours postoperatively using the Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA).Results: At 4 hours postoperatively, MoCA scores were significantly higher in the SA group (21.6±2.6)compared to the GA group (20.8±4.4;p
Fields of Study & Subjects
Intensive Care Unit Cognitive Disorders
Anesthesia and Neurotoxicity Research
Anesthesia and Pain Management
Publication details
- Journal / source
- Istanbul Medical Journal
- Volume
- 27
- Issue
- 1
- Pages
- 1–6
- Publication date
- 2 February 2026