认知功能和在癌症老年人中完成基于网络的老年医学评估的能力
Alexxandra J Hoffmann1, Amy L Tin2, Andrew J Vickers2
1Duke University, Durham, North Carolina, USA.
Journal of the American Geriatrics Society
|November 16, 2023
概括
老年人的认知障碍可以通过更长的电子快速健身评估 (eRFA) 完成时间来表明. 完成eRFA所需的辅助也与认知能力下降有关.
科学领域:
- 老年医学 老年医学
- 认知神经学 认知神经学
- 医疗信息学 医疗信息学
背景情况:
- 认知障碍在老年人群中越来越令人担忧.
- 术前评估对于优化老年人手术结果至关重要.
- 电子健康工具为认知评估提供了新的途径.
研究的目的:
- 确定认知障碍是否与完成电子快速健身评估 (eRFA) 所需的时间有关.
- 为了研究eRFA完成时间和术前老年人群的认知功能状态之间的关系.
主要方法:
- 从2015年2月至2020年12月接受手术前评估的2599名患者的回顾性分析.
- 使用Mini-Cog©查工具评估认知功能.
- 记录了完成eRFA的时间和需要协助的需要.
主要成果:
- 需要协助完成eRFA的患者显示Mini-Cog©得分明显较低 (p<0.0001).
- 需要帮助的人的认知障碍率更高 (7.5%,22%,38%).
- 在独立完成者中,更长的eRFA时间与更大的认知障碍相关 (p=0.002).
结论:
- 对于基于网络的问卷和完成时间所需的帮助可以预测对综合认知评估的需求.
- 这些发现表明,eRFA时间和协助是术前老年患者认知状态的有价值指标.
- 建议在不同人群中进一步验证并开发临床途径.
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