Remote Cognitive Assessment for Surgical Patients

Recruiting

• Conditions: Mild Cognitive Impairment; Delirium

• Registration Number: NCT05566275
• Lead Sponsor: University of California, San Francisco

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.

Study Timeline

• Study Start: 2022-06-29
• Study First Submitted: 2022-09-28
• Study First Submitted QC: 2022-09-30
• Study First Posted: 2022-10-04
• Status Verified: 2023-10
• Last Update Submitted: 2023-10-06
• Last Update Posted: 2023-10-10
• Primary Completion: 2023-12
• Study Completion: 2023-12

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 30

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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
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.

Trial Locations

Locations (1)

University of California San Francisco; 🇺🇸 San Francisco, California, United States