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Assessment of a digital game as a neuropsychological test for postoperative cognitive dysfunction.
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.
  • Lucatelli A; Universidade de São Paulo, Faculdade de Medicina, Programa de Pós-Graduação em Anestesiologia, Ciências Cirúrgicas e Medicina Perioperatória, São Paulo, SP, Brazil. Electronic address: andrelucatelli@alumni.usp.br.
  • Goulart AA; Universidade de São Paulo, Faculdade de Medicina, Programa de Pós-Graduação em Anestesiologia, Ciências Cirúrgicas e Medicina Perioperatória, São Paulo, SP, Brazil.
  • Silveira PSP; Universidade de São Paulo, Faculdade de Medicina, Departamento de Medicina Legal, Ética Médica e Medicina Social e do Trabalho, São Paulo, SP, Brazil; Universidade de São Paulo, Faculdade de Medicina, Departamento de Patologia, São Paulo, SP, Brazil.
  • Siqueira JO; Universidade de São Paulo, Faculdade de Medicina, Departamento de Medicina Legal, Ética Médica e Medicina Social e do Trabalho, São Paulo, SP, Brazil; Universidade de São Paulo, Instituto de Psicologia, Departamento de Psicologia Experimental, São Paulo, SP, Brazil.
  • Carmona MJC; Universidade de São Paulo, Faculdade de Medicina, Departamento de Cirurgia, Disciplina de Anestesiologia, São Paulo, SP, Brazil.
  • Pereira VFA; Associação MentalPlus, Barueri, SP, Brazil.
  • Valentin LSS; Associação MentalPlus, Barueri, SP, Brazil.
  • Vieira JE; Universidade de São Paulo, Faculdade de Medicina, Departamento de Cirurgia, Disciplina de Anestesiologia, São Paulo, SP, Brazil.
Braz J Anesthesiol ; 72(1): 7-12, 2022.
Article in English | MEDLINE | ID: covidwho-1739566
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 pre- and 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 pre- and 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.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Postoperative Cognitive Complications Type of study: Experimental Studies / Prognostic study Limits: Adult / Aged / Female / Humans / Male / Middle aged Language: English Journal: Braz J Anesthesiol Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Postoperative Cognitive Complications Type of study: Experimental Studies / Prognostic study Limits: Adult / Aged / Female / Humans / Male / Middle aged Language: English Journal: Braz J Anesthesiol Year: 2022 Document Type: Article