https://observatorio.fm.usp.br/handle/OPI/44851
Título: | Assessment of a digital game as a neuropsychological test for postoperative cognitive dysfunction |
Autor: | LUCATELLI, André; GOULART, Ananaira Alves; SILVEIRA, Paulo Sergio Panse; SIQUEIRA, José de Oliveira; CARMONA, Maria José Carvalho; PEREIRA, Valéria Fontenelle Angelim; VALENTIN, Livia Stocco Sanches; VIEIRA, Joaquim Edson |
Citación: | BRAZILIAN JOURNAL OF ANESTHESIOLOGY, v.72, n.1, p.7-12, 2022 |
Resumen: | Abstract Objective: Postoperative cognitive dysfunction may result from worsening in a condition of previous impairment. It causes greater difficulty in recovery, longer hospital stays, and consequent delay in returning to work activities. Digital games have a potential neuromodulatory and rehabilitation effect. In this study, a digital game was used as a neuropsychological test to assess postoperative cognitive dysfunction, with preoperative patient performance as control. Methods: It was a non-controlled study, with patients selected among candidates for elective non-cardiac surgery, evaluated in the preand postoperative periods. The digital game used has six phases developed to evaluate selective attention, alternating attention, visuoperception, inhibitory control, short-term memory, and long-term memory. The digital game takes about 25 minutes. Scores are the sum of correct answers in each cognitive domain. Statistical analysis compared these cognitive functions preand post-surgery using a generalized linear mixed model (ANCOVA). Results: Sixty patients were evaluated, 40% male and 60% female, with a mean age of 52.7 ± 13.5 years. Except for visuoperception, a reduction in post-surgery scores was found in all phases of the digital game. Conclusion: The digital game was able to detect decline in several cognitive functions postoperatively. As its completion is faster than in conventional tests on paper, this digital game may be a potentially recommended tool for assessing patients, especially the elderly and in the early postoperative period. |
Aparece en las colecciones: | Artigos e Materiais de Revistas Científicas - FM/MCG Artigos e Materiais de Revistas Científicas - FM/MLS Artigos e Materiais de Revistas Científicas - FM/MPT Artigos e Materiais de Revistas Científicas - HC/ICHC Artigos e Materiais de Revistas Científicas - HC/InCor Artigos e Materiais de Revistas Científicas - LIM/01 Artigos e Materiais de Revistas Científicas - LIM/08 |
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art_LUCATELLI_Assessment_of_a_digital_game_as_a_neuropsychological_2022.PDF | publishedVersion (English) | 571.13 kB | Adobe PDF | Visualizar/Abrir |
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