Remote Cognitive Assessment for Surgical Patients

Remote Evaluation of Cognitive Function for Older Adults Undergoing Surgery

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT05566275

Acronym

Remote OR

Enrollment

Registered

2022-10-04

Start date

2022-06-29

Completion date

2024-02-29

Last updated

2025-11-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Delirium, Mild Cognitive Impairment

Keywords

Remote Cognitive Assessment

Brief summary

This is a pilot study to evaluate the use of remote cognitive testing to identify patients who may have cognitive vulnerability and may benefit from cognitive care pathways. Participants in this study are asked to complete a smartphone battery of thinking, memory, speech, and motor function tests on their smartphone.

Detailed description

This study is evaluating cognitive function in older adults that are undergoing surgery using remote assessments. Participants complete a battery of neuropsychological assessments prior to their surgery date. The battery includes smartphone adaptions of tests of thinking, memory, speech, and movement. The participant has a one-hour remote visit, where the investigators will conduct a Montreal Cognitive Assessment (MoCA) and have the participant complete the smartphone assessments. After their surgery, participants are evaluated on the delirium rating scale.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

CROSS_SECTIONAL

Eligibility

Sex/Gender

ALL

Age

65 Years to 99 Years

Healthy volunteers

Inclusion criteria

* Spine surgery with a duration greater than or equal to three hours * Can speak, write, and understand English * Ability to participate in remote visit

Exclusion criteria

* Participating in other cognitive studies * Having more than one surgery (planned multiday surgery) * Emergency surgery

Design outcomes

Primary

Measure	Time frame	Description
Number of Patients that develop Postoperative Delirium (POD).	Daily after surgery up to discharge from the hospital- an average of days to 2 weeks	Postoperative Delirium is measured by clinical assessment using the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU), or the Nursing Delirium Screen Scale (Nu-DESC). A composite delirium score is calculated, and patient is included in the delirium group if either CAM-ICU or NuDESC screenings are positive during the hospital stay. Electronic medical records will also be evaluated for any delirium diagnosis.

Countries

United States

Outcome results