Research Article

The Association between Postoperative Cognitive Dysfunction and Cerebral Oximetry during Geriatric Orthopedic Surgery: A Randomized Controlled Study

Table 5

Correlation between regional cerebral oxygen saturation (rScO2) variables and selected cognitive test variable elements for patients with postoperative cognitive dysfunction (POCD) at baseline and 3 months after surgery.

Digit span testCorrect orderReverse orderSymbol digit testTrail making test AVerbal fluency testWord recognition memory tests
value value value value value value value

Correlation analysis in baseline
Preoperative rScO2-0.050.51-0.020.45-0.110.61-0.020.520.020.610.010.520.020.25
Mean rScO2 during surgery0.060.620.030.510.250.250.030.130.010.170.020.250.030.61
Time below preoperative rScO2 (min)0.010.350.010.41-0.020.150.020.360.020.250.030.36-0.050.35
Time below a 10% decrease from preoperative rScO2 (min)0.020.640.020.250.030.620.010.21-0.010.360.020.330.020.36
Time below a 20% decrease from preoperative rScO2 (min)0.010.810.030.320.050.250.020.360.020.18-0.010.220.010.25
CDL preoperative ()-0.030.26-0.030.360.020.440.020.250.030.090.050.350.020.36
CDL10 ()0.020.610.010.510.030.36-0.050.260.060.180.010.120.050.36
CDL20 ()0.030.360.020.25-0.010.250.020.650.050.240.020.360.010.31
Minimum rScO2 value-0.020.640.020.610.020.680.010.890.020.210.030.250.020.81
Maximum rScO2 value0.050.250.030.320.020.250.030.91-0.050.220.010.39-0.050.64
Correlation analysis in 3 months
Preoperative rScO20.230.020.050.520.050.610.050.620.020.020.620.020.260.02
Mean rScO2 during surgery0.210.610.610.01-0.060.350.360.360.030.360.360.360.320.62
Time below preoperative rScO2 (min)0.020.350.020.020.020.33-0.250.350.010.360.020.350.120.36
Time below a 10% decrease from preoperative rScO2 (min)0.030.610.360.230.010.360.610.250.030.150.030.360.360.15
Time below a 20% decrease from preoperative rScO2 (min)0.010.81-0.050.51-0.060.150.360.36-0.020.360.250.020.250.25
CDL preoperative ()0.020.360.020.360.210.250.320.150.030.35-0.030.36-0.050.36
CDL10 ()-0.360.350.310.150.020.480.250.580.050.250.360.250.030.25
CDL20 ()0.210.250.050.520.360.360.250.250.610.360.250.320.020.15
Minimum rScO2 value0.060.230.060.330.020.02-0.250.610.250.250.360.020.320.02
Maximum rScO2 value0.020.020.040.110.030.010.030.250.360.25-0.030.010.220.03