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Computerized screening for cognitive impairment in patients with COPD.

Carlijn Campman1, Dirk van Ranst2, Jan Willem Meijer2

  • 1Department of Cognitive Neuropsychology, Tilburg University, Tilburg.

International Journal of Chronic Obstructive Pulmonary Disease
|November 2, 2017
PubMed
Summary

Chronic obstructive pulmonary disease (COPD) is linked to cognitive impairment. A brief computerized test battery, Central Nervous System Vital Signs (CNSVS), is viable for screening these cognitive deficits in COPD patients.

Keywords:
CNS vital signscognitive functioncomputerized cognitive testingneuropsychological assessmentviability

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Area of Science:

  • Neurology
  • Pulmonology
  • Psychology

Background:

  • Chronic obstructive pulmonary disease (COPD) is frequently associated with cognitive impairment.
  • Diagnosing cognitive deficits in COPD patients is crucial but often hindered by time and budget constraints.
  • Brief, accessible screening tools are needed to identify cognitive issues in this population.

Purpose of the Study:

  • To evaluate the viability of the Central Nervous System Vital Signs (CNSVS) computerized cognitive test battery for screening cognitive impairment in COPD patients.
  • To assess the feasibility and effectiveness of a brief, digital cognitive assessment in a clinical setting for COPD.

Main Methods:

  • A cohort of COPD patients referred for pulmonary rehabilitation underwent assessment using the CNSVS.
  • The CNSVS is a 30-minute computerized battery assessing multiple cognitive domains including memory, attention, and executive function.
  • Cognitive performance was compared against age-corrected normative data.

Main Results:

  • The CNSVS was successfully completed by 93.2% of COPD patients.
  • COPD patients demonstrated significantly poorer performance across all cognitive domains compared to norms.
  • Over half of the patients (51.8%) exhibited impairment in at least one cognitive domain.
  • Lower computer experience correlated with worse performance on the CNSVS.

Conclusions:

  • The high completion rate and comparable findings to previous research support the viability of CNSVS for cognitive screening in COPD.
  • This brief computerized tool can facilitate the identification of cognitive dysfunctions, potentially improving patient care.
  • Careful interpretation of results is advised for patients with limited computer experience, warranting further investigation.