Journal of neurosurgical anesthesiology
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J Neurosurg Anesthesiol · Apr 2019
Development of a Novel Self-administered Cognitive Assessment Tool and Normative Data for Older Adults.
Preexisting cognitive impairment in surgical patients is one of the leading risk factors for adverse cognitive outcomes such as postoperative delirium and postoperative cognitive dysfunction. We developed a self-administered tablet computer application intended to assess the individual risk for adverse postoperative cognitive outcomes. This cross-sectional study aimed to establish normative data for the tool. ⋯ This study provides normative data for a novel self-administered tablet computer application that is ultimately designed to measure the individual risk for adverse postoperative cognitive outcomes in elderly patients.
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J Neurosurg Anesthesiol · Apr 2019
Randomized Controlled TrialHome-based Cognitive Prehabilitation in Older Surgical Patients: A Feasibility Study.
Cognitive training is beneficial in various clinical settings, although its perioperative feasibility and impact remain unknown. The objective of this pilot study was to determine the feasibility of home-based cognitive prehabilitation before major surgery in older adults. ⋯ Short-term, home-based cognitive training before surgery is unlikely to be feasible for many older patients. Barriers to training include feeling overwhelmed, technical issues with training, and preoperative time commitment.