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Prospective comparison of three methods for detecting peri-operative neurocognitive disorders in older adults undergoing cardiac and non-cardiac surgery. / van Zuylen, M. L.; Kampman, J. M.; Turgman, O. et al.

In: Anaesthesia, Vol. 78, No. 5, 36632036, 05.2023, p. 577-586.

Research output: Contribution to journal › Article › Academic › peer-review

Harvard

van Zuylen, ML, Kampman, JM, Turgman, O, Gribnau, A, ten Hoope, W, Preckel, B, Willems, HC, Geurtsen, GJ & Hermanides, J 2023, 'Prospective comparison of three methods for detecting peri-operative neurocognitive disorders in older adults undergoing cardiac and non-cardiac surgery', Anaesthesia, vol. 78, no. 5, 36632036, pp. 577-586. https://doi.org/10.1111/anae.15965

APA

van Zuylen, M. L., Kampman, J. M., Turgman, O., Gribnau, A., ten Hoope, W., Preckel, B., Willems, H. C., Geurtsen, G. J., & Hermanides, J. (2023). Prospective comparison of three methods for detecting peri-operative neurocognitive disorders in older adults undergoing cardiac and non-cardiac surgery. Anaesthesia, 78(5), 577-586. [36632036]. https://doi.org/10.1111/anae.15965

Vancouver

van Zuylen ML, Kampman JM, Turgman O, Gribnau A, ten Hoope W, Preckel B et al. Prospective comparison of three methods for detecting peri-operative neurocognitive disorders in older adults undergoing cardiac and non-cardiac surgery. Anaesthesia. 2023 May;78(5):577-586. 36632036. Epub 2023. doi: 10.1111/anae.15965

Author

van Zuylen, M. L. ; Kampman, J. M. ; Turgman, O. et al. / Prospective comparison of three methods for detecting peri-operative neurocognitive disorders in older adults undergoing cardiac and non-cardiac surgery. In: Anaesthesia. 2023 ; Vol. 78, No. 5. pp. 577-586.

BibTeX

@article{c276cd859e1a4b8e8980db63e82b9cb5,
title = "Prospective comparison of three methods for detecting peri-operative neurocognitive disorders in older adults undergoing cardiac and non-cardiac surgery",
abstract = "Postoperative neurocognitive disorders occur frequently in older adult patients. Neuropsychological assessment is the gold standard for diagnosis, but the resources required for routine use are significant. Instead, it is common for simplified and unvalidated tests to be used for trials and in clinical practice. We undertook a single-centre prospective observational study in elective surgical patients aged ? 65 years recruited between September 2019 and January 2021. Patients underwent neuropsychological assessment, the Modified Telephone Interview for Cognitive Status and Montreal Cognitive Assessment before surgery. Tests were repeated at approximately four to eight postoperative weeks. We included 105 patients and 28 (27%) were lost to follow-up. Pre-operative Modified Telephone Interview for Cognitive Status and cognitive domain scores were very weakly to moderately correlated (r?=?0.09?0.41). Pre-operative Montreal Cognitive Assessment and cognitive domain scores were very weakly to weakly correlated (r?=?0.17?0.37) Postoperative Modified Telephone Interview for Cognitive Status and cognitive domain scores were very weakly to weakly correlated (r?=?0.09?0.36). Postoperative Montreal Cognitive Assessment score and cognitive domain scores were very weakly to weakly correlated (r?=?0.07?0.36). Overall, there was limited agreement between tests. We conclude that the Modified Telephone Interview for Cognitive Status and Montreal Cognitive Assessment should not be used in isolation to diagnose postoperative neurocognitive disorders. There seems to be little to no pre-operative, postoperative or pre- to postoperative correlation between these tests and the neuropsychological assessment in older adults without pre-operative cognitive impairment.",
keywords = "cognitive dysfunction, neurocognitive, neuropsychological, peri-operative",
author = "{van Zuylen}, {M. L.} and Kampman, {J. M.} and O. Turgman and A. Gribnau and {ten Hoope}, W. and B. Preckel and Willems, {H. C.} and Geurtsen, {G. J.} and J. Hermanides",
note = "Funding Information: GG and JH contributed equally as senior authors. This study was registered prospectively on the Netherlands Trial Register (NL7676). Support was provided solely from institutional and/or departmental sources. No competing interests declared. Publisher Copyright: {\textcopyright} 2023 The Authors. Anaesthesia published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists.",
year = "2023",
month = may,
doi = "10.1111/anae.15965",
language = "English",
volume = "78",
pages = "577--586",
journal = "Anaesthesia",
issn = "0003-2409",
publisher = "Wiley-Blackwell",
number = "5",

}

RIS

TY - JOUR

T1 - Prospective comparison of three methods for detecting peri-operative neurocognitive disorders in older adults undergoing cardiac and non-cardiac surgery

AU - van Zuylen, M. L.

AU - Kampman, J. M.

AU - Turgman, O.

AU - Gribnau, A.

AU - ten Hoope, W.

AU - Preckel, B.

AU - Willems, H. C.

AU - Geurtsen, G. J.

AU - Hermanides, J.

N1 - Funding Information: GG and JH contributed equally as senior authors. This study was registered prospectively on the Netherlands Trial Register (NL7676). Support was provided solely from institutional and/or departmental sources. No competing interests declared. Publisher Copyright: © 2023 The Authors. Anaesthesia published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists.

PY - 2023/5

Y1 - 2023/5

N2 - Postoperative neurocognitive disorders occur frequently in older adult patients. Neuropsychological assessment is the gold standard for diagnosis, but the resources required for routine use are significant. Instead, it is common for simplified and unvalidated tests to be used for trials and in clinical practice. We undertook a single-centre prospective observational study in elective surgical patients aged ? 65 years recruited between September 2019 and January 2021. Patients underwent neuropsychological assessment, the Modified Telephone Interview for Cognitive Status and Montreal Cognitive Assessment before surgery. Tests were repeated at approximately four to eight postoperative weeks. We included 105 patients and 28 (27%) were lost to follow-up. Pre-operative Modified Telephone Interview for Cognitive Status and cognitive domain scores were very weakly to moderately correlated (r?=?0.09?0.41). Pre-operative Montreal Cognitive Assessment and cognitive domain scores were very weakly to weakly correlated (r?=?0.17?0.37) Postoperative Modified Telephone Interview for Cognitive Status and cognitive domain scores were very weakly to weakly correlated (r?=?0.09?0.36). Postoperative Montreal Cognitive Assessment score and cognitive domain scores were very weakly to weakly correlated (r?=?0.07?0.36). Overall, there was limited agreement between tests. We conclude that the Modified Telephone Interview for Cognitive Status and Montreal Cognitive Assessment should not be used in isolation to diagnose postoperative neurocognitive disorders. There seems to be little to no pre-operative, postoperative or pre- to postoperative correlation between these tests and the neuropsychological assessment in older adults without pre-operative cognitive impairment.

AB - Postoperative neurocognitive disorders occur frequently in older adult patients. Neuropsychological assessment is the gold standard for diagnosis, but the resources required for routine use are significant. Instead, it is common for simplified and unvalidated tests to be used for trials and in clinical practice. We undertook a single-centre prospective observational study in elective surgical patients aged ? 65 years recruited between September 2019 and January 2021. Patients underwent neuropsychological assessment, the Modified Telephone Interview for Cognitive Status and Montreal Cognitive Assessment before surgery. Tests were repeated at approximately four to eight postoperative weeks. We included 105 patients and 28 (27%) were lost to follow-up. Pre-operative Modified Telephone Interview for Cognitive Status and cognitive domain scores were very weakly to moderately correlated (r?=?0.09?0.41). Pre-operative Montreal Cognitive Assessment and cognitive domain scores were very weakly to weakly correlated (r?=?0.17?0.37) Postoperative Modified Telephone Interview for Cognitive Status and cognitive domain scores were very weakly to weakly correlated (r?=?0.09?0.36). Postoperative Montreal Cognitive Assessment score and cognitive domain scores were very weakly to weakly correlated (r?=?0.07?0.36). Overall, there was limited agreement between tests. We conclude that the Modified Telephone Interview for Cognitive Status and Montreal Cognitive Assessment should not be used in isolation to diagnose postoperative neurocognitive disorders. There seems to be little to no pre-operative, postoperative or pre- to postoperative correlation between these tests and the neuropsychological assessment in older adults without pre-operative cognitive impairment.

KW - cognitive dysfunction

KW - neurocognitive

KW - neuropsychological

KW - peri-operative

UR - http://www.scopus.com/inward/record.url?scp=85146297661&partnerID=8YFLogxK

U2 - 10.1111/anae.15965

DO - 10.1111/anae.15965

M3 - Article

C2 - 36632036

VL - 78

SP - 577

EP - 586

JO - Anaesthesia

JF - Anaesthesia

SN - 0003-2409

IS - 5

M1 - 36632036

ER -

ID: 31300193