N/A
Completed N=229
Preoperative Cognitive Screening in Older Spinal Surgical Patients
Mild Cognitive Impairment · Frail Elderly Syndrome
Source: ClinicalTrials.gov NCT02922634 ↗
Enrolled (actual)
229
Serious AEs
0.0%
Results posted
Jul 2021
Primary outcomePrimary: Delirium by Age — 75; 77 years — p=0.508
Summary
The objectives of this study are to determine whether identifying patients with baseline cognitive deficits or frailty predict postoperative delirium.
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 | — |
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.
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. Informational only — not medical advice.