Journal of clinical anesthesia
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Review Meta Analysis
Rapid cognitive assessment tools for screening of mild cognitive impairment in the preoperative setting: A systematic review and meta-analysis.
Mild cognitive impairment (MCI) is a high-risk precursor to dementia, post-operative delirium, and prolonged hospitalization. There is a need for preoperative rapid cognitive screening tools. ⋯ No rapid screening tools had been validated in the surgical population. In other populations, RCS may be a promising screening tool for MCI with stronger sensitivity and specificity than Mini-Cog, SIS, and CDT. CDT alone is ineffective for MCI detection. Further validation in the preoperative setting is required to determine the efficacy of these screening tools.
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Quality of recovery (QoR) is an important concept in the perioperative care of a patient. Assessment of QoR has prognostic and economic importance, with clinical and research applications and improves patient satisfaction in the perioperative period. ⋯ Special attention is paid to the Quality of Recovery 40 (QoR-40) and the Quality of Recovery 15 (QoR-15) assessment tools, with further attention to development, composition, validation, and subsequent usage of the QoR-15. Furthermore, factors that have been found to influence QoR and the importance of measuring QoR will be discussed.