Functional decline Depression Geriatrics Anesthesia Postoperative cognitive dysfunction RUDAS-
Conditions
Interventions
Postoperative cognitive dysfunction (POCD) is associated with permanent disability,
increased mortality,
and diminished quality of life. The incidence of acute POCD among geriatric Thai patients who have undergone minor surgery is uncertain because they are typically discharged before acute POCD is detec
telemedicine is an attractive tool to investigate POCD. The primary objective of our research was to explore the incidence of acute POCD,
while its secondary objective was to describe the consequences of POCD on functional recovery and quality of life.
Screening
POCD by Telemedicine in Octogenarian Patients
Sponsors
Faculty of Medicine Siriraj Hospital Mahidol University
Faculty of Medicine Siriraj Hospital Mahidol University
Eligibility
Sex/Gender
All
Age
80 Years to 100 Years
Inclusion criteria
Inclusion criteria: The inclusion criteria were patients aged ≥ 80 years who were scheduled for minor elective surgery, such as urological endoscopic surgery, laparoscopic surgery, or endoscopic retrograde cholangiopancreatography (ERCP). Patients or their caregivers needed to use smartphone support provided by way of the “Polycom RealPresence Mobile†application.
Exclusion criteria
Exclusion criteria: Patients were excluded if they had factors that might affect the execution of remote cognitive assessments, such as an inability to understand the Thai language, a severe visual or auditory dysfunction, an unstable mental status, or being bedridden. Patients reluctant to complete the preoperative and postoperative RUDAS-Thai test were also excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of acute POCD after minor surgery among octogenarian Thai patients 1 week The Rowland Universal Dementia Assessment Scale (RUDAS) | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative functional recovery 1 week The Barthel Activities of Daily Living index ,Postoperative depression 1 week Montgomery–Asberg Depression Rating Scale (MADRS),Postoperative quality of life 1 week The 5-level EQ-5D questionnaire (EQ-5D-5L) | — |
Countries
Thailand
Contacts
Public ContactArunotai Siriussawakul
Faculty of Medicine Siriraj Hospital. Mahidol University
Outcome results
None listed