N/A
N=200
Preoperative Cognitive Screening of Elderly Surgical Patients
Cognitive Impairment
Bottom Line
View on ClinicalTrials.gov: NCT01826825 ↗Enrolled (actual)
200
Serious AEs
15.7%
Results posted
Apr 2021
Primary outcome: Primary: Number of Patients With Probable Cognitive Impairment — 23; 22 Participants
Study Design & Population
- Study type
- Observational
- Phase
- N/A
- Interventions
- Cognitive Screen (Behavioral); Mini-Cog (Behavioral)
- Age
- Older Adult · 65+ yrs
- Sex
- All
- Sponsor
- Brigham and Women's Hospital
- Primary completion
- Oct 2013
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Patients With Probable Cognitive Impairment |
23; 22 | — |
| SECONDARY Cost of Cognitive Screening in Terms of Time and Finances |
90; 90 | — |
| SECONDARY Patient Perceptions of Preoperative Cognitive Screening |
71; 71; 19; 9; 10; 18 | — |
Summary
The objectives of this pilot study are:
1. to determine whether a short cognitive test battery administered in the preadmission test center can be used to cognitively stratify elderly patients presenting for elective surgical procedures.
2. to evaluate the cost of cognitive screening in the preoperative testing center in terms of time and finances.
3. to evaluate patient perceptions about the use of preoperative cognitive screening and their outcome expectations from their surgical procedure.
Subsequent investigations may evaluate whether preoperative cognitive screening is a predictor of postoperative morbidity and mortality in elderly surgical patients and whether a short cognitive screen administered in the preadmission testing center could be used to identify individuals with baseline cognitive impairments that should be refered for more formal cognitive evaluation.
Eligibility Criteria
Inclusion Criteria
- Patients 65 years and over were enrolled either to be screened with the Clock in the Box or MiniCog cognitive screening tools
Exclusion Criteria:.
- Patients under age 65 Patients with visual or hearing impairments that are not corrected Patients who do not speak and read English Patients having a formal diagnosis of dementia Patients with scheduled surgical procedures affecting the brain or cerebrovasculature (i.e. intracranial neurosurgery, carotid endarterectomy).
Data sourced from ClinicalTrials.gov (NCT01826825). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.