Erschienen in:
01.03.2015 | Perioperative Delirium (JM Leung, Section Editor)
Delirium and Obstructive Sleep Apnea: Exploring the Molecular Link
verfasst von:
Stephanie C. Patterson, Shawn G. Kwatra, Miles Berger, Madan M. Kwatra
Erschienen in:
Current Anesthesiology Reports
|
Ausgabe 1/2015
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Abstract
Delirium is a common problem among the elderly. The incidence of delirium will increase considerably in the coming decades as the proportion of the population over age 65 increases. Given that an FDA-approved drug to treat delirium is not available, efforts geared toward prevention are paramount. Several risk factors that predispose/precipitate delirium have been identified. A recently described, reversible risk factor for postoperative delirium is obstructive sleep apnea (OSA). In this review, we focus on the molecular basis of delirium and its link to OSA. We present evidence that OSA modulates the levels of two factors, IGF-1 and cortisol, which both have been linked to postoperative delirium.