Advocating for You: Protecting and preserving the brain function of every patient undergoing a surgical procedure or intervention.
Why This Matters
With more than 46 million Americans over the age of 65, postoperative delirium is a major public health issue in this vulnerable population.
In 2015, then-ASA President Daniel J. Cole, M.D., proposed a new patient safety initiative — the Brain Health Initiative — to engage a multidisciplinary group to work with providers, payers and the public to create a low-barrier access program to minimize the impact of pre-existing cognitive deficits, and optimize the cognitive recovery and perioperative experience for adults 65 years and older undergoing surgery.
What You Should Know
Postoperative delirium and delayed cognitive recovery are complications of significance to the elderly surgical population.
The incidence of postoperative delirium ranges from 5 to 15 percent. However, with certain high-risk groups such as patients with hip fracture, the range can be between 16 to 62 percent.
Immediately after surgery, the incidence of delayed cognitive recovery is high with recovery over a period of months.
Postoperative delirium is associated with significant postoperative complications.
ASA’s PBHI Vision Statement
All Physician Anesthesiologists implement current guidelines and scientific advances to protect and preserve the brain function of every patient undergoing a surgical procedure or intervention.
ASA’s PBHI Mission Statements
We promote routine preoperative screening for specific risk factors for perioperative neurocognitive disorders (e.g., delirium, postoperative cognitive decline)
We promote evidence-based perioperative strategies to prevent, identify, and treat perioperative neurocognitive disorders
We provide education about perioperative neurocognitive disorders for patients and providers