N/A N=229

Preoperative Cognitive Screening in Older Spinal Surgical Patients

Cognitive Impairment · Frail Elderly Syndrome

Bottom Line

View on ClinicalTrials.gov: NCT02922634 ↗

Enrolled (actual)

229

Serious AEs

0.0%

Results posted

Jul 2021

Primary outcome: Primary: Delirium by Age — 75; 77 years — p=0.508

Study Design & Population

Study type: Observational
Phase: N/A
Interventions: Mini Cog (Other)
Age: Older Adult · 70+ yrs
Sex: All
Sponsor: Brigham and Women's Hospital
Primary completion: Oct 2018

Outcome Measures

Outcome	Result	p-value
PRIMARY Delirium by Age	75; 77	0.508
PRIMARY Number of Participants With or Without Delirium by Sex	94; 30; 70; 25	0.720
PRIMARY Delirium by Body Mass Index	28; 30	0.025 sig
PRIMARY Number of Participants With or Without Delirium by College Degree	108; 36	0.480
PRIMARY Participants With an ASA Physical Status Score and the Development of Postoperative Delirium	105; 44; 59; 11	0.028 sig
PRIMARY Number of Participants With or Without Delirium by Metabolic Equivalent of Task Score < 4	45; 25	0.007 sig
PRIMARY Delirium by Total Number of Medications Taken at Baseline	8; 9	0.002 sig
PRIMARY Number of Participants With or Without Delirium by Opioid Use	34; 21	0.01 sig
PRIMARY Number of Participants With or Without Delirium by Alcohol Consumption	98; 27	0.101
PRIMARY Number of Participants With or Without Delirium by Presence of Depression	26; 13	0.192
PRIMARY Number of Participants With or Without Delirium by Psychiatric History	14; 8	0.200
PRIMARY Delirium by Mini-cog Score	4; 4	0.333
PRIMARY Number of Participants With or Without Delirium by FRAIL Score	43; 5; 92; 25; 29; 24	0.001 sig
PRIMARY Number of Participants With or Without Delirium by Surgical Invasivness	93; 18; 71; 37	0.002 sig
SECONDARY Number of Participants With In-hospital Complications Were Observed During Their Length of Stay in the Hospital With Death Postoperative Death Monitored up to Day 30.	151; 68	—
SECONDARY Participants' Discharge Location (Home vs. Other Than Home)	138; 77; 4	—

Summary

The objectives of this study are to determine whether identifying patients with baseline cognitive deficits or frailty predict postoperative delirium.

Eligibility Criteria

Inclusion Criteria

patients 70 years of age and older presenting to the BWH Weiner Center for Preoperative Evaluation
undergoing elective spine surgery

Exclusion Criteria

include planned ICU admission postoperatively
history of stroke or brain tumor
uncorrected vision or hearing impairment (unable to see pictures or read or hear instructions)
limited use of the dominant hand (limited ability to draw)
inability to speak, read, or understand English.

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02922634). 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.