Preoperative Cognitive Screening of Surgical Patients 65 Years of Age or Older

Summary

The overall objectives of this study are to improve outcomes of surgical patients 65 years of age or older through risk stratification based on preoperative screening of cognition / mental function. Aim 1 is to determine the prevalence of cognitive impairment among patients 65 years of age or older presenting for elective joint replacement surgery by structured cognitive screening versus standard practice. Aim 2 is to ascertain whether preoperative cognitive impairment in patients 65 years of age or older undergoing elective joint replacement surgery is an independent predictor of adverse postoperative events and/or mortality. Aim 3 is to implement routine structured preoperative cognitive screening of patients 65 years of age or older undergoing elective surgical procedures in a busy preoperative clinic.

Conditions

• Mild Cognitive Impairment

Interventions

OTHER

Patient Survey

This survey will assess patients' perspective about the importance of preoperative cognitive screening, information about living situation, information about who accompanied them to the preoperative visit, and level of perceived stress.

OTHER

Mini Cog

The MiniCog is a simple cognitive screening tool that takes just 2-4 min to complete and has little or no education, language, or race bias. This is a well-validated tool to assess mild cognitive impairment.

OTHER

Independent Activities of Daily Living Score Sheet

Questionnaire used to measure self-reported functional status for instrumental activities of daily living using standardized scales

OTHER

Activities of Daily Living Score Sheet

Questionnaire used to measure self-reported functional status for basic activities of daily living using standardized scores

OTHER

Geriatric Depression Scale Short Form

Questionnaire used to measure self-reported mood

OTHER

Confusion Assessment Method (CAM)

This well-validated measure of post-operative delirium will be utilized up to 3 days after surgery

OTHER

RAND 36-Item Short Form Health Survey

This measure is a generic, coherent, and easily administered health survey used to assess self-reported quality of life

OTHER

Grip Strength

Measured using the JAMAR dynamometer

Sponsors & Collaborators

• Anesthesia Patient Safety Foundation

  collaborator OTHER

• Brigham and Women's Hospital

  lead OTHER

Principal Investigators

• Deborah J Culley, M.D. · Brigham and Women's Anesthesiology Department

Eligibility

Min Age

65 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2014-09-30

Primary Completion

2015-08-31

Completion

2020-08-31

Countries

• United States

Study Locations