Definition and application of neuropsychological test battery to evaluate postoperative cognitive dysfunction
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Einstein (São Paulo) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082015000100005 |
Resumo: | Objective To investigate the adequacy of the neuropsychological test battery proposed by the International Study of Postoperative Cognitive Dysfunction to evaluate this disorder in Brazilian elderly patients undergoing surgery under general anesthesia. Methods A neuropsychological assessment was made in patients undergoing non-cardiac surgery under general anesthesia, aged over 65 years, literate, with no history of psychiatric or neurological problems and score on the Mini Mental State Examination at or above the cutoff point for the Brazilian population (>18 or >23) according to the schooling level of the subject. Eighty patients were evaluated by a trained team of neuropsychologists up to 24 hours before elective surgery. Results Among the patients evaluated, one was excluded due to score below the cutoff point in the Mini Mental State Examination and two did not complete the test battery, thus remaining 77 patients in the study. The mean age was 69±7.5 years, and 62.34% of the subjects had ±4 years of study. The subjects had significantly lower averages than expected (p<0.001) for normative tables on neuropsychological tests. Conclusion The study demonstrated the applicability of the instruments in the Brazilian elderly and low schooling level population, but suggested the need to determine cutoff points appropriate for these individuals, ensuring the correct interpretation of results. This battery is relevant to postoperative follow-up evaluations, favoring the diagnosis of postoperative cognitive dysfunction in patients undergoing different types of surgery and anesthetic techniques. |
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Definition and application of neuropsychological test battery to evaluate postoperative cognitive dysfunctionCognition disordersPostoperative periodAnesthesia, generalNeuropsychological testsAged Objective To investigate the adequacy of the neuropsychological test battery proposed by the International Study of Postoperative Cognitive Dysfunction to evaluate this disorder in Brazilian elderly patients undergoing surgery under general anesthesia. Methods A neuropsychological assessment was made in patients undergoing non-cardiac surgery under general anesthesia, aged over 65 years, literate, with no history of psychiatric or neurological problems and score on the Mini Mental State Examination at or above the cutoff point for the Brazilian population (>18 or >23) according to the schooling level of the subject. Eighty patients were evaluated by a trained team of neuropsychologists up to 24 hours before elective surgery. Results Among the patients evaluated, one was excluded due to score below the cutoff point in the Mini Mental State Examination and two did not complete the test battery, thus remaining 77 patients in the study. The mean age was 69±7.5 years, and 62.34% of the subjects had ±4 years of study. The subjects had significantly lower averages than expected (p<0.001) for normative tables on neuropsychological tests. Conclusion The study demonstrated the applicability of the instruments in the Brazilian elderly and low schooling level population, but suggested the need to determine cutoff points appropriate for these individuals, ensuring the correct interpretation of results. This battery is relevant to postoperative follow-up evaluations, favoring the diagnosis of postoperative cognitive dysfunction in patients undergoing different types of surgery and anesthetic techniques. Instituto Israelita de Ensino e Pesquisa Albert Einstein2015-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082015000100005einstein (São Paulo) v.13 n.1 2015reponame:Einstein (São Paulo)instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)instacron:IIEPAE10.1590/S1679-45082015AO3152info:eu-repo/semantics/openAccessValentin,Lívia Stocco SanchesPietrobon,RicardoAguiar Junior,Wagner deRios,Ruth Pinto CamarãoStahlberg,Mariane GalzeranoMenezes,Iolanda Valois Galvão deOsternack-Pinto,KátiaCarmona,Maria José Carvalhoeng2015-08-03T00:00:00Zoai:scielo:S1679-45082015000100005Revistahttps://journal.einstein.br/pt-br/ONGhttps://old.scielo.br/oai/scielo-oai.php||revista@einstein.br2317-63851679-4508opendoar:2015-08-03T00:00Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)false |
dc.title.none.fl_str_mv |
Definition and application of neuropsychological test battery to evaluate postoperative cognitive dysfunction |
title |
Definition and application of neuropsychological test battery to evaluate postoperative cognitive dysfunction |
spellingShingle |
Definition and application of neuropsychological test battery to evaluate postoperative cognitive dysfunction Valentin,Lívia Stocco Sanches Cognition disorders Postoperative period Anesthesia, general Neuropsychological tests Aged |
title_short |
Definition and application of neuropsychological test battery to evaluate postoperative cognitive dysfunction |
title_full |
Definition and application of neuropsychological test battery to evaluate postoperative cognitive dysfunction |
title_fullStr |
Definition and application of neuropsychological test battery to evaluate postoperative cognitive dysfunction |
title_full_unstemmed |
Definition and application of neuropsychological test battery to evaluate postoperative cognitive dysfunction |
title_sort |
Definition and application of neuropsychological test battery to evaluate postoperative cognitive dysfunction |
author |
Valentin,Lívia Stocco Sanches |
author_facet |
Valentin,Lívia Stocco Sanches Pietrobon,Ricardo Aguiar Junior,Wagner de Rios,Ruth Pinto Camarão Stahlberg,Mariane Galzerano Menezes,Iolanda Valois Galvão de Osternack-Pinto,Kátia Carmona,Maria José Carvalho |
author_role |
author |
author2 |
Pietrobon,Ricardo Aguiar Junior,Wagner de Rios,Ruth Pinto Camarão Stahlberg,Mariane Galzerano Menezes,Iolanda Valois Galvão de Osternack-Pinto,Kátia Carmona,Maria José Carvalho |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Valentin,Lívia Stocco Sanches Pietrobon,Ricardo Aguiar Junior,Wagner de Rios,Ruth Pinto Camarão Stahlberg,Mariane Galzerano Menezes,Iolanda Valois Galvão de Osternack-Pinto,Kátia Carmona,Maria José Carvalho |
dc.subject.por.fl_str_mv |
Cognition disorders Postoperative period Anesthesia, general Neuropsychological tests Aged |
topic |
Cognition disorders Postoperative period Anesthesia, general Neuropsychological tests Aged |
description |
Objective To investigate the adequacy of the neuropsychological test battery proposed by the International Study of Postoperative Cognitive Dysfunction to evaluate this disorder in Brazilian elderly patients undergoing surgery under general anesthesia. Methods A neuropsychological assessment was made in patients undergoing non-cardiac surgery under general anesthesia, aged over 65 years, literate, with no history of psychiatric or neurological problems and score on the Mini Mental State Examination at or above the cutoff point for the Brazilian population (>18 or >23) according to the schooling level of the subject. Eighty patients were evaluated by a trained team of neuropsychologists up to 24 hours before elective surgery. Results Among the patients evaluated, one was excluded due to score below the cutoff point in the Mini Mental State Examination and two did not complete the test battery, thus remaining 77 patients in the study. The mean age was 69±7.5 years, and 62.34% of the subjects had ±4 years of study. The subjects had significantly lower averages than expected (p<0.001) for normative tables on neuropsychological tests. Conclusion The study demonstrated the applicability of the instruments in the Brazilian elderly and low schooling level population, but suggested the need to determine cutoff points appropriate for these individuals, ensuring the correct interpretation of results. This battery is relevant to postoperative follow-up evaluations, favoring the diagnosis of postoperative cognitive dysfunction in patients undergoing different types of surgery and anesthetic techniques. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-03-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082015000100005 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082015000100005 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1679-45082015AO3152 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
publisher.none.fl_str_mv |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
dc.source.none.fl_str_mv |
einstein (São Paulo) v.13 n.1 2015 reponame:Einstein (São Paulo) instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) instacron:IIEPAE |
instname_str |
Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
instacron_str |
IIEPAE |
institution |
IIEPAE |
reponame_str |
Einstein (São Paulo) |
collection |
Einstein (São Paulo) |
repository.name.fl_str_mv |
Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
repository.mail.fl_str_mv |
||revista@einstein.br |
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1752129907576537088 |