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Erschienen in:
13.08.2018 | Original Scientific Report
Cognitive Assessment of Surgeons During Surgical Procedures: Influence of Time and Intraoperative Complications
Erschienen in: World Journal of Surgery | Ausgabe 1/2019
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Introduction
Surgeon’s performance may be influenced by several factors that may affect skills and judgement, which ultimately represents surgeon´s cognition. Cognition refers to all forms of knowing and awareness, such as perceiving, conceiving, remembering, reasoning, judging, imagining, and problem solving. This report aims to evaluate the effect of operative time and operative complications on surgeon´s cognition.
Methods
Forty-six surgeons (mean age 31 years, 78% males) assigned to an operation expected to last for at least 2 h, volunteered for the study. All participants underwent 3 cognitive tests at the beginning of the operation and hourly, until the end of the procedure: (a) concentration (serial sevens, counting down from 100 by sevens); (b) visual (fast counting, counting the number of circles with the same color among a series of circles); and (c) motor (trail making, connecting a set of numbered dots). Intraoperative complications were recorded.
Results
The visual test had a stable behavior along time. Concentration and motor tests tend to be performed faster. Intraoperative complications occurred in 5 (11%) cases (3 hemorrhage and 2 organ injuries). Performance time was stable for concentration and motor tests but visual test tends to be performed faster in cases with an intraoperative complication.
Conclusion
Our results showed that (1) time does not jeopardize surgeons’ cognition, but rather surgeons learned to perform the tests faster, and (2) complications do not decrease surgeons’ cognition.