#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Measurement of perioperative neurocognitive disorder in seniors above 65 years old – pilot study


Authors: Klára Nekvindová 1,2;  Lubica Juríčková 2;  Dagmar Tučková 2;  Tomáš Gabrhelík 1
Authors‘ workplace: Krajská nemocnice Tomáše Bati a. s., Zlín 1;  Ústav veřejného zdravotnictví, Lékařská fakulta Univerzity Palackého v Olomouci 2
Published in: Geriatrie a Gerontologie 2021, 10, č. 4: 196-200
Category: Original Article

Overview

Introduction and aim: Perioperative neurocognitive disorder stands for impairment in cognitive function in preoperative and postoperative period. Introduction of diagnostic and evaluation of cognitive function into clinical practise came to the fore because of increasing number of geriatric patients. The main goals were fast patient’s recovery after surgery and maintaining quality of life. Nowadays there are no standardized or recommended tests for evaluation cognitive function for perioperative neurocognitive disorder. Main aim of this work is to inform about first results of pilot study which is evaluating cognitive function before and after surgery.

Methodology: Pilot study evaluates cognitive functions before and after operation in patients above 65 years old with three tests. These tests are Mini Mental State Exam (MMSE), clock drawing test and TEGEST test.

Results: 36 patients were included in the study, 25 of them finished testing after operation. The test results were divided into 4 categories according to Mini-Mental State Exam to normal range, mild, moderate, and severe dementia. The highest number of patients were in normal range (14), where the results of clock drawing test didn’t correlate in with the results of other two test in half of the cases. In category mild dementia were 9 patients, in 1 patient result of clock drawing test didn’t correlate with other two tests In terms of time suitable for clinical practise could be TEGEST test and clock drawing test, MMSE seems to be time consuming for preoperative evaluation.

Keywords:

MMSE – seniors – cognitive deficit – clock drawing test – TEGEST test


Sources

1. Evered L, Silbert B, Knopman D, et al. Recommendation for the nomenclature of cognitive change associated with anaesthesia and surgery, 2018. BJA [online] 2018; 121(5): 1005–1012. [cit. 2021-4-7].

2. Berger M, Schenning KJ, Brown CH, et al. Perioperative Neurotoxicity Working Group. Best Practices for Postoperative Brain Health: Recommendations From the Fifth International Perioperative Neurotoxicity Working Group. Anesth Analg 2018; 127(6): 1406–1413.

3. Bartoš A, Raisová M. Testy a dotazníky pro vyšetřování kognitivních funkcí, nálady a soběstačnosti. Praha: Mladá fronta 2019: 12, 63–65.

4. Bartoš A. Krátké kognitivní testy. [online]. 2018. [cit. 11. 10. 2021]. Dostupné z: https://www.czech-neuro.cz/content/uploads/2018/03/bartos_kratkekognitivnitesty_kurzdemence_brno12.pdf

5. Štěpánková H, Nikolai T, Lukavský J, et al. Mini-Mental State Examination – česká normativní studie. Cesk Slov Neurol N 2015; 78/111(1): 57–63.

6. Bartoš A. Nové testy paměti. [online]. 2018. [cit. 13. 10. 2021]. Dostupné z: https://www.nudz.cz/adcentrum/dokumenty/3_Bartos_Nove_Testy_Pameti_Zlist_2018.pdf

7. Bartoš A, Janoušek M, Petroušová R, et al. Tři časy Testu kreslení hodin hodnocené BaJa skórováním u časné Alzheimerovy nemoci. Cesk Slov Neurol N 2016; 79/112(4): 406–412.

8. Huang J. Delirium. [online]. MSD Manual Professional Version. 2021. [cit. 14. 10. 2021]. Dostupné z: https://www.msdmanuals.com/professional/neurologic-disorders/delirium-and-dementia/delirium

9. Sessums LL, Zembrzuska H, Jackson JL. Does this patient have medical decision-making capacity? JAMA 2011; 27; 306(4): 420–427.

10.  Boone MD, Sites B, Recklinghausen FM. Economic Burden of Postoperative Neurocognitive Disorders Among US Medicare Patients. JAMA New Open [online]. 2020; 3(7): e208931. [cit. 2021–07-01].

Labels
Geriatrics General practitioner for adults Orthopaedic prosthetics
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#