痴呆症护理研究和心理社会因素
Rachel R Wu1, Mika Rockholt1, Christina L Bi1
1NYU Grossman School of Medicine, New York, NY, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
概括
这项研究表明,国家阿尔茨海默氏症协调中心 (NACC) UDS v3.0 T-cog 检查是一个可行的和全面的工具,用于评估手术后老年人的认知功能,完成率高,直至手术后三个月.
科学领域:
- 老年医学 老年医学
- 神经科学是一个神经科学.
- 外科手术的结果
背景情况:
- 术后神经认知障碍 (NCD) 在65岁及以上的患者中很常见.
- 对非传染性疾病的风险因素尚未完全理解,需要进行全面的认知评估.
- 目前的虚拟认知选器可能缺乏检测NCD的灵敏度.
研究的目的:
- 为了评估使用国家阿尔茨海默氏症协调中心 (NACC) UDS v3.0 T-cog 实验的可行性.
- 在老年手术患者手术后3个月内捕获强大的认知评估.
- 与现有的选器相比,评估UDS v3.0 T-cog的灵敏度.
主要方法:
- 对65岁以上接受部或膝关节关节整形手术的患者进行前性观察性研究.
- 在基线,1周,1个月和3个月后进行NACC UDS v3.0 T-cog检查的虚拟管理.
- 在至少两个认知领域的Z分数中,NCD被定义为≥ -1 SD的变化.
主要成果:
- 分析了91名患者 (平均年龄为73.2岁),T-cog检查的完成率很高 (78-84.5%至3个月).
- 手术后非传染性疾病的发病率为1周后31.9%,1个月后29.9%,3个月后21.7%.
- 在这个虚拟环境中,UDS v3.0 T-cog 显示出高可行性和完成率.
结论:
- NACC UDS v3.0 T-cog 检查可用于外科手术后最多 3 个月的虚拟管理.
- 这种验证的考试提供了比目前的选程序更全面的评估,可能会增加对认知变化的敏感性.
- 未来的研究将将UDS v3.0 T-cog的灵敏度与其他外科外科认知评估进行比较.
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