1
40
2
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/ANA.0000000000000569" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/ANA.0000000000000569</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
212-217
Issue
2
Volume
31
NEOMED College
NEOMED College of Medicine
NEOMED Department
NEOMED Student Publications
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Home-based Cognitive Prehabilitation in Older Surgical Patients: A Feasibility Study.
Publisher
An entity responsible for making the resource available
Journal of neurosurgical anesthesiology
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-04
Creator
An entity primarily responsible for making the resource
Vlisides Phillip E; Das Abhijit R; Thompson Allie M; Kunkler Bryan; Zierau Mackenzie; Cantley Michael J; McKinney Amy M; Giordani Bruno
Description
An account of the resource
BACKGROUND: Cognitive training is beneficial in various clinical settings, although its perioperative feasibility and impact remain unknown. The objective of this pilot study was to determine the feasibility of home-based cognitive prehabilitation before major surgery in older adults. MATERIALS AND METHODS: Sixty-one patients were enrolled, randomized, and allocated to either a home-based preoperative cognitive training regimen or no training before surgery. Outcomes included postoperative delirium incidence (primary outcome; assessed with the 3D-Confusion Assessment Method), perioperative cognitive function based on NIH Toolbox measures, hospital length of stay, and physical therapy session participation. Reasons for declining enrollment were reported, as were reasons for opting out of the training program. RESULTS: Postoperative delirium incidence was 6 of 23 (26%) in the prehabilitation group compared with 5 of 29 (17%) in the control group (P=0.507). There were no significant differences between groups in NIH Toolbox cognitive function scoring, hospital length of stay, or physical therapy participation rates. Study feasibility data were also collected and reported. The most common reasons for declining enrollment were lack of computer access (n=19), time commitment (n=9), and feeling overwhelmed (n=9). In the training group, only 5 of 29 (17%) included patients were able to complete the prescribed 7 days of training, and 14 of 29 (48%) opted out of training once home. Most common reasons were feeling overwhelmed (n=4) and computer difficulties (n=3). CONCLUSIONS: Short-term, home-based cognitive training before surgery is unlikely to be feasible for many older patients. Barriers to training include feeling overwhelmed, technical issues with training, and preoperative time commitment.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/ANA.0000000000000569" target="_blank" rel="noreferrer noopener">10.1097/ANA.0000000000000569</a>
2019
Cantley Michael J
Das Abhijit R
Giordani Bruno
Journal of neurosurgical anesthesiology
Kunkler Bryan
McKinney Amy M
NEOMED College of Medicine Student
NEOMED Student Publications
Thompson Allie M
Vlisides Phillip E
Zierau Mackenzie
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/ANA.0000000000000569" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/ANA.0000000000000569</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Home-based Cognitive Prehabilitation in Older Surgical Patients: A Feasibility Study.
Publisher
An entity responsible for making the resource available
Journal of neurosurgical anesthesiology
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
2018-12
Creator
An entity primarily responsible for making the resource
Vlisides Phillip E; Das Abhijit R; Thompson Allie M; Kunkler Bryan; Zierau Mackenzie; Cantley Michael J; McKinney Amy M; Giordani Bruno
Description
An account of the resource
BACKGROUND: Cognitive training is beneficial in various clinical settings, although its perioperative feasibility and impact remain unknown. The objective of this pilot study was to determine the feasibility of home-based cognitive prehabilitation before major surgery in older adults. MATERIALS AND METHODS: Sixty-one patients were enrolled, randomized, and allocated to either a home-based preoperative cognitive training regimen or no training before surgery. Outcomes included postoperative delirium incidence (primary outcome; assessed with the 3D-Confusion Assessment Method), perioperative cognitive function based on NIH Toolbox measures, hospital length of stay, and physical therapy session participation. Reasons for declining enrollment were reported, as were reasons for opting out of the training program. RESULTS: Postoperative delirium incidence was 6 of 23 (26%) in the prehabilitation group compared with 5 of 29 (17%) in the control group (P=0.507). There were no significant differences between groups in NIH Toolbox cognitive function scoring, hospital length of stay, or physical therapy participation rates. Study feasibility data were also collected and reported. The most common reasons for declining enrollment were lack of computer access (n=19), time commitment (n=9), and feeling overwhelmed (n=9). In the training group, only 5 of 29 (17%) included patients were able to complete the prescribed 7 days of training, and 14 of 29 (48%) opted out of training once home. Most common reasons were feeling overwhelmed (n=4) and computer difficulties (n=3). CONCLUSIONS: Short-term, home-based cognitive training before surgery is unlikely to be feasible for many older patients. Barriers to training include feeling overwhelmed, technical issues with training, and preoperative time commitment.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/ANA.0000000000000569" target="_blank" rel="noreferrer noopener">10.1097/ANA.0000000000000569</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2018
Cantley Michael J
Das Abhijit R
Giordani Bruno
Journal of neurosurgical anesthesiology
Kunkler Bryan
McKinney Amy M
Thompson Allie M
Vlisides Phillip E
Zierau Mackenzie