Preoperative Cognitive Screening of Elderly Surgical Patients
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|ClinicalTrials.gov Identifier: NCT01826825|
Recruitment Status : Completed
First Posted : April 9, 2013
Results First Posted : April 1, 2021
Last Update Posted : April 14, 2021
The objectives of this pilot study are:
- 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.
- to evaluate the cost of cognitive screening in the preoperative testing center in terms of time and finances.
- 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.
|Condition or disease||Intervention/treatment|
|Cognitive Impairment||Behavioral: Cognitive Screen Behavioral: Mini-Cog|
|Study Type :||Observational|
|Actual Enrollment :||200 participants|
|Official Title:||Preoperative Cognitive Screening of Elderly Surgical Patients|
|Actual Study Start Date :||May 2013|
|Actual Primary Completion Date :||October 2013|
|Actual Study Completion Date :||August 2015|
Clock in the box
Those patients with and without probable cognitive impairment based on the Clock-in-the-box assessment.
Behavioral: Cognitive Screen
Other Name: Clock-in-the-Box
Those patients with and without probable cognitive impairment based on the Mini-Cog assessment.
Other Name: Mini-Cog cognitive screen
- Number of Patients With Probable Cognitive Impairment [ Time Frame: Cognitive stratification occurred on the date the patient consented to the study at baseline. This data was presented in a publication in 2017 (Anesthesiology. 2017 Nov;127(5):765-774.) ]Potential baseline predictors of the MiniCog and CIB scores on a risk ratio scale, Clock in box 0-8, Mini-Cog 0-5, higher values represent better scores. For the Mini-cog a score of less than or equal to 2 suggests probable cognitive impairment. For the Clock in the box, a score of less than or equal to 5 suggests probable cognitive impairment. The number of participants that scored less than or equal to 2 on the Mini-cog or less than or equal to 5 on the clock in the box are presented in the data table
- Cost of Cognitive Screening in Terms of Time and Finances [ Time Frame: duration of time undergoing preoperative evaluation in minutes. ]To evaluate the cost of cognitive screening in the preoperative testing center in terms of time and finances. We were unable to determine differences in cost and did not track time to administer specifically the screening tools but rather the time of the entire preoperative evaluation. We gathered information on time spent in the preoperative testing center between patients who had MiniCog or Clock-in-the box testing.
- Patient Perceptions of Preoperative Cognitive Screening [ Time Frame: The data was obtained at the time of initial enrollment ]Results of a patient survey about their perceptions on preoperative cognitive screening on a yes / no basis
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01826825
|United States, Massachusetts|
|Brigham and Women's Hospital|
|Boston, Massachusetts, United States, 02115|
|Study Chair:||Angela Bader, MD, MPH||Brigham and Women's Hospital|
|Study Chair:||James Rudolph, MD||Brigham Hospital|
|Principal Investigator:||Deborah J Culley, MD||Brigham Hospital|
|Study Director:||Devon M Flaherty, MD, MPH||Brigham and Women's Hospital|