Detection of Postoperative Cognitive Dysfunction (POCD) by Telemedicine Among Octogenarian Patients Who Underwent Minor Elective Surgery

Phase 1

Completed

• Conditions: Functional declineDepression; Geriatrics; Anesthesia; Postoperative cognitive dysfunction; RUDAS- Thai; Telemedicine.

• Registration Number: TCTR20201216001
• Lead Sponsor: Faculty of Medicine Siriraj Hospital Mahidol University

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Completion: 2019-01-16
• Study Start: 2020-12-16
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 40

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

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.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The incidence of acute POCD after minor surgery among octogenarian Thai patients 1 week The Rowland Universal Dementia Assessment Scale (RUDAS)

Secondary Outcome Measures

Name	Time	Method
Postoperative functional recovery 1 week The Barthel Activities of Daily Living index ,Postoperative depression 1 week Montgomeryâ€Asberg Depression Rating Scale (MADRS),Postoperative quality of life 1 week The 5-level EQ-5D questionnaire (EQ-5D-5L)