TEGEST as promising tool for assessing the risk of perioperative neurocognitive disorders

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61989592%3A15110%2F24%3A73627143" target="_blank" >RIV/61989592:15110/24:73627143 - isvavai.cz</a>

Výsledek na webu

<a href="https://link.springer.com/article/10.1186/s12877-024-05302-9?utm_source=rct_congratemailt&utm_medium=email&utm_campaign=oa_20240828&utm_content=10.1186%2Fs12877-024-05302-9" target="_blank" >https://link.springer.com/article/10.1186/s12877-024-05302-9?utm_source=rct_congratemailt&utm_medium=email&utm_campaign=oa_20240828&utm_content=10.1186%2Fs12877-024-05302-9</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1186/s12877-024-05302-9" target="_blank" >10.1186/s12877-024-05302-9</a>

Jazyk výsledku

angličtina

Název v původním jazyce

TEGEST as promising tool for assessing the risk of perioperative neurocognitive disorders

Popis výsledku v původním jazyce

AbstractBackground Perioperative neurocognitive disorders are often neglected and undiagnosed. There are known riskfactors for these disorders (e.g., higher levels of frailty, cognitive decline before surgery). However, these factors areusually not assessed in the daily clinical setting. One of the main reasons for this lack of examination is the absenceof a suitable cognitive function test that can be used in acute clinical settings. The primary aim of this study was todetermine correlations between preoperative and postoperative scores on three cognitive tests (the Mini MentalState Exam (MMSE), the Clock Drawing Test (CDT) and the Test of Gestures (TEGEST).Methods This was a prospective, monocentric, observational study that included one cohort of patients aged 65years and older. Patients underwent acute or elective surgical operations. Preanaesthesia tests were administered.After the operation, the patients completed the same tests between the 2nd postoperative day and discharge.Preoperative and postoperative cognitive test scores were assessed.Results This study included 164 patients. The arithmetic mean age was 74.5 years. The strongest correlations wereobserved between MMSE scores and TEGEST scores (r=0.830 before and 0.786 after surgery, P&lt;0.001). To comparethe MMSE and the TEGEST, the MMSE was divided into 2 categories—normal and impaired—and good agreementwas found among 76.2% of the participants (ϰ = 0.515). If the TEGEST scoring system was changed so that scores of4–6 indicated normal cognition and scores of 0–3 indicated cognitive impairment, the level of agreement would be90.8%, ϰ = 0.817. Only 5.5% of the patients had impaired MMSE scores and normal TEGEST scores, whereas 3.7% of therespondents normal MMSE scores and impaired TEGEST scores.Conclusion According to our results, the TEGEST is a suitable option for assessing cognitive functioning beforesurgery among patients who are at risk of developing perioperative neurocognitive disorders. This study revealed thatit is necessary to change the rating scale for the TEGEST so that scores of 4–6 indicate normal cognition and scores of0–3 indicate cognitive impairment. In clinical practice, the use of the TEGEST may help to identify patients at risk ofperioperative neurocognitive disorders.

Název v anglickém jazyce

TEGEST as promising tool for assessing the risk of perioperative neurocognitive disorders

Popis výsledku anglicky

AbstractBackground Perioperative neurocognitive disorders are often neglected and undiagnosed. There are known riskfactors for these disorders (e.g., higher levels of frailty, cognitive decline before surgery). However, these factors areusually not assessed in the daily clinical setting. One of the main reasons for this lack of examination is the absenceof a suitable cognitive function test that can be used in acute clinical settings. The primary aim of this study was todetermine correlations between preoperative and postoperative scores on three cognitive tests (the Mini MentalState Exam (MMSE), the Clock Drawing Test (CDT) and the Test of Gestures (TEGEST).Methods This was a prospective, monocentric, observational study that included one cohort of patients aged 65years and older. Patients underwent acute or elective surgical operations. Preanaesthesia tests were administered.After the operation, the patients completed the same tests between the 2nd postoperative day and discharge.Preoperative and postoperative cognitive test scores were assessed.Results This study included 164 patients. The arithmetic mean age was 74.5 years. The strongest correlations wereobserved between MMSE scores and TEGEST scores (r=0.830 before and 0.786 after surgery, P&lt;0.001). To comparethe MMSE and the TEGEST, the MMSE was divided into 2 categories—normal and impaired—and good agreementwas found among 76.2% of the participants (ϰ = 0.515). If the TEGEST scoring system was changed so that scores of4–6 indicated normal cognition and scores of 0–3 indicated cognitive impairment, the level of agreement would be90.8%, ϰ = 0.817. Only 5.5% of the patients had impaired MMSE scores and normal TEGEST scores, whereas 3.7% of therespondents normal MMSE scores and impaired TEGEST scores.Conclusion According to our results, the TEGEST is a suitable option for assessing cognitive functioning beforesurgery among patients who are at risk of developing perioperative neurocognitive disorders. This study revealed thatit is necessary to change the rating scale for the TEGEST so that scores of 4–6 indicate normal cognition and scores of0–3 indicate cognitive impairment. In clinical practice, the use of the TEGEST may help to identify patients at risk ofperioperative neurocognitive disorders.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30302 - Epidemiology

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2024

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

BMC Geriatrics

ISSN

1471-2318

e-ISSN

—

Svazek periodika

24

Číslo periodika v rámci svazku

August 2024

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

11

Strana od-do

713

Kód UT WoS článku

001300709200001

EID výsledku v databázi Scopus

2-s2.0-85202607569