Clinical outcomes in older surgical patients with mild cognitive impairment.

Postoperative delirium in the elderly: risk factors and outcomes. Robinson TN, Raeburn CD, Tran ZV, Angles EM, Brenner LA, Moss M. Poor performance on a preoperative cognitive screening test predicts postoperative complications in older orthopedic surgical patients. Natl Health Stat Rep 2010 29: 1-20.Ĭulley DJ, Flaherty D, Fahey MC et al. National Hospital Discharge Survey: 2007 summary. Hall MJ, DeFrances CJ, Williams SN, Golosinskiy A, Schwartzman A. Effective screening using the Mini-Cog test opens the possibility to provide optimal urologic care for older patients Geriatr Gerontol Int 2022 22: 319-324.Ĭognitive dysfunction delirium dementia robotic surgery urology. The Mini-Cog test is a simple screening tool with only two components (a delayed, three-word recall task and a clock drawing test): it is useful in identifying potential cases of cognitive decline and patients at risk for postoperative delirium along with other information routinely collected preoperatively.

For predicting postoperative delirium, Mini-Cog score with a cutoff value of <3 granting sensitivity of 69.2%, specificity of 86.2%, positive predictive value of 30.0% and negative predictive value of 97.1%. Using multivariate analysis, the Mini-Cog score of <3 (odds ratio = 12.7 P < 0.001), decline of instrumental activities of daily living (OR = 3.0 P = 0.04) and preoperative benzodiazepine use (OR = 8.3 P < 0.001) were independent risk factors for postoperative delirium. Postoperative delirium occurred in 26 patients (8%). Patients with probable cognitive impairment were 60 (18%). Univariate and multivariate logistic regression analysis were used to identify the risk factors for postoperative delirium. The probable cognitive impairment is defined as a Mini-Cog score of <3. In this single-center retrospective observational study, medical records were collected for patients who underwent major urologic cancer surgery at our department between 20, and underwent preoperative cognitive screening based on the Mini-Cog test (n = 331). The purpose of this study was to evaluate the impact of the mini-cognitive assessment instrument (Mini-Cog) on postoperative delirium after major urological cancer surgery.

Mini cog test