Definition and application of neuropsychological test battery to evaluate postoperative cognitive dysfunction

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorVALENTIN, Lívia Stocco Sanches
dc.contributor.authorPIETROBON, Ricardo
dc.contributor.authorAGUIAR JUNIOR, Wagner de
dc.contributor.authorRIOS, Ruth Pinto Camarão
dc.contributor.authorSTAHLBERG, Mariane Galzerano
dc.contributor.authorMENEZES, Iolanda Valois Galvão de
dc.contributor.authorOSTERNACK-PINTO, Kátia
dc.contributor.authorCARMONA, Maria José Carvalho
dc.date.accessioned2015-09-11T17:47:18Z
dc.date.available2015-09-11T17:47:18Z
dc.date.issued2015
dc.description.abstractObjective To investigate the adequacy of the neuropsychological test battery proposed by the International Study of Postoperative Cognitive Dysfunction to evaluate this disorder in Brazilian elderly patients undergoing surgery under general anesthesia. Methods A neuropsychological assessment was made in patients undergoing non-cardiac surgery under general anesthesia, aged over 65 years, literate, with no history of psychiatric or neurological problems and score on the Mini Mental State Examination at or above the cutoff point for the Brazilian population (>18 or >23) according to the schooling level of the subject. Eighty patients were evaluated by a trained team of neuropsychologists up to 24 hours before elective surgery. Results Among the patients evaluated, one was excluded due to score below the cutoff point in the Mini Mental State Examination and two did not complete the test battery, thus remaining 77 patients in the study. The mean age was 69±7.5 years, and 62.34% of the subjects had ±4 years of study. The subjects had significantly lower averages than expected (p<0.001) for normative tables on neuropsychological tests. Conclusion The study demonstrated the applicability of the instruments in the Brazilian elderly and low schooling level population, but suggested the need to determine cutoff points appropriate for these individuals, ensuring the correct interpretation of results. This battery is relevant to postoperative follow-up evaluations, favoring the diagnosis of postoperative cognitive dysfunction in patients undergoing different types of surgery and anesthetic techniques.
dc.description.abstractObjetivo Investigar a adequação da bateria neuropsicológica proposta pelo International Study of Postoperative Cognitive Dysfunction para a avaliação de disfunção cognitiva pós-operatória em pacientes idosos brasileiros submetidos à cirurgia sob anestesia geral. Métodos Foi realizada uma avaliação neuropsicológica em pacientes submetidos a cirurgias não cardíacas sob anestesia geral, com idade >65 anos, alfabetizados, sem histórico de problemas psiquiátricos ou neurológicos e com pontuação no Miniexame do Estado Mental igual ou superior ao ponto de corte para a população brasileira (>18 ou >23) de acordo com a escolaridade do sujeito. Oitenta pacientes foram avaliados por equipe treinada de neuropsicólogos até 24 horas antes da cirurgia de caráter eletivo. Resultados Dentre os pacientes avaliados, um foi excluído por apresentar pontuação abaixo do ponto de corte no Miniexame do Estado Mental e dois não completaram a bateria de testes, permanecendo 77 pacientes no estudo. A média de idade foi de 69±7,5 anos, com 62,34% dos sujeitos, com ±4 anos de estudo. Os sujeitos apresentaram médias significativamente inferiores ao esperado (p<0,001) para tabelas normativas nos testes neuropsicológicos. Conclusão O estudo demonstrou a aplicabilidade dos instrumentos na população brasileira idosa e de baixa escolaridade, mas sugeriu a necessidade de determinação de pontos de corte adequados a essa população, garantindo a correta interpretação de resultados. Tal bateria é relevante para avaliações de seguimento pós-cirúrgico, favorecendo o diagnóstico de disfunção cognitiva pós-operatória em pacientes submetidos a diferentes tipos de cirurgia e técnicas anestésicas.
dc.description.indexMEDLINE
dc.description.sponsorshipFundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP); The State of Sao Paulo Research Foundation [09/54233-0]
dc.identifier.citationEINSTEIN-SAO PAULO, v.13, n.1, p.20-26, 2015
dc.identifier.doi10.1590/S1679-45082015AO3152
dc.identifier.eissn2317-6385
dc.identifier.issn1679-4508
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/10523
dc.language.isoeng
dc.publisherInstituto Israelita de Ensino e Pesquisa Albert Einstein
dc.relation.ispartofEinstein (São Paulo)
dc.rightsopenAccess
dc.rights.holderCopyright Instituto Israelita de Ensino e Pesquisa Albert Einstein
dc.subjectCognition disorders
dc.subjectPostoperative period
dc.subjectAnesthesia, general
dc.subjectNeuropsychological tests
dc.subjectAged
dc.subjectTranstornos cognitivos
dc.subjectPeríodo pós-operatório
dc.subjectAnestesia geral
dc.subjectTestes neuropsicológicos
dc.subjectIdoso
dc.titleDefinition and application of neuropsychological test battery to evaluate postoperative cognitive dysfunction
dc.title.alternativeDefinição e aplicação de bateria de testes neuropsicológicos para avaliação de disfunção cognitiva pós-operatória
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryisous
hcfmusp.author.externalPIETROBON, Ricardo:Duke University Medical Center, USA
hcfmusp.author.externalMENEZES, Iolanda Valois Galvão de:Universidade de São Paulo, Brazil
hcfmusp.citation.scopus11
hcfmusp.contributor.author-fmusphcLIVIA STOCCO SANCHES VALENTIN
hcfmusp.contributor.author-fmusphcWAGNER DE AGUIAR JUNIOR
hcfmusp.contributor.author-fmusphcRUTH PINTO CAMARAO
hcfmusp.contributor.author-fmusphcMARIANE GALZERANO STAHLBERG
hcfmusp.contributor.author-fmusphcKATIA OSTERNACK PINTO
hcfmusp.contributor.author-fmusphcMARIA JOSE CARVALHO CARMONA
hcfmusp.description.beginpage20
hcfmusp.description.endpage26
hcfmusp.description.issue1
hcfmusp.description.volume13
hcfmusp.origemWOS
hcfmusp.origem.pubmed25993064
hcfmusp.origem.scieloSCIELO:S1679-45082015000100005
hcfmusp.origem.scopus2-s2.0-84942801960
hcfmusp.origem.wosWOS:000421351900005
hcfmusp.publisher.citySão Paulo
hcfmusp.publisher.countryBRAZIL
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hcfmusp.scopus.lastupdate2024-05-17
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