Cognitive self-assessment scales in surgical settings: Acceptability and feasibility

N Stoicea; K N Koehler; D W Scharre; S D Bergese

doi:10.1016/j.bpa.2018.08.001

Cognitive self-assessment scales in surgical settings: Acceptability and feasibility

Best Pract Res Clin Anaesthesiol. 2018 Sep-Dec;32(3-4):303-309. doi: 10.1016/j.bpa.2018.08.001. Epub 2018 Aug 9.

Authors

N Stoicea¹, K N Koehler², D W Scharre³, S D Bergese⁴

Affiliations

¹ The Ohio State University, Wexner Medical Center, Department of Anesthesiology, Columbus, OH, USA. Electronic address: nicoleta.stoicea@osumc.edu.
² The Ohio State University College of Medicine, Medical Student Research Program, Columbus, OH, USA.
³ The Ohio State University, Wexner Medical Center, Department of Neurology, Columbus, OH, USA.
⁴ The Ohio State University, Wexner Medical Center, Department of Anesthesiology, Columbus, OH, USA; The Ohio State University, Wexner Medical Center, Department of Neurological Surgery, Columbus, OH, USA.

PMID: 30522721
DOI: 10.1016/j.bpa.2018.08.001

Abstract

Pre-existing cognitive impairment is associated with poor surgical outcomes, long hospital stays, and increased morbidity and mortality. This necessitates the use of screening tools to evaluate preoperative cognitive status in elderly surgical patients. Given the growing population of older adults and increased prevalence of cognitive impairment, it is necessary to investigate whether staff-administered or self-administered cognitive screening examinations provide more sensitive information about pre-existing (preoperative) cognitive status. Self-administered Gerocognitive Screening Examination (SAGE) was developed out of the need for a cognitive self-assessment scale in the clinic. At our institution, SAGE was given to 189 elderly surgical patients to evaluate baseline cognitive status, and preliminary results are promising that self-assessment scales are both feasible and acceptable in the surgical setting.

Keywords: alzheimer's disease; cognitive testing; dementia; general anesthesia; mild cognitive impairment; self-assessment; surgery.

Publication types

Review

MeSH terms

Aged
Aged, 80 and over
Cognition Disorders / complications
Cognition Disorders / diagnosis*
Cognition Disorders / psychology*
Cognition*
Cognitive Dysfunction / diagnosis*
Cognitive Dysfunction / psychology*
Humans
Mass Screening
Neuropsychological Tests*
Perioperative Care*
Postoperative Complications / diagnosis*
Postoperative Complications / psychology*
Self-Assessment*
Treatment Outcome