Application of the Uniform Data Set version 3 tele-adapted test battery (T-cog) for remote cognitive assessment preoperatively in older adults

IntroductionOlder adults undergoing surgery are at risk of postoperative neurocognitive disorders, prompting the need for preoperative cognitive screening in this population. Traditionally, cognitive screening has been conducted in-person using brief assessment tools such as the Montreal Cognitive A...

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Main Authors: Mika M. Rockholt, Rachel R. Wu, Elaine Zhu, Raven Perez, Hamleini Martinez, Jessica J. Hui, Ekow B. Commeh, Romario B. Denoon, Gabrielle Bruno, Braden V. Saba, Daniel Waren, Courtney O'Brien, Vinay K. Aggarwal, Joshua C. Rozell, David Furgiuele, William Macaulay, Ran Schwarzkopf, Evan T. Schulze, Ricardo S. Osorio, Lisa V. Doan, Jing Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Aging Neuroscience
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Online Access:https://www.frontiersin.org/articles/10.3389/fnagi.2024.1535830/full
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author Mika M. Rockholt
Mika M. Rockholt
Rachel R. Wu
Rachel R. Wu
Elaine Zhu
Elaine Zhu
Raven Perez
Raven Perez
Hamleini Martinez
Hamleini Martinez
Jessica J. Hui
Ekow B. Commeh
Romario B. Denoon
Gabrielle Bruno
Braden V. Saba
Daniel Waren
Courtney O'Brien
Vinay K. Aggarwal
Joshua C. Rozell
David Furgiuele
William Macaulay
Ran Schwarzkopf
Evan T. Schulze
Ricardo S. Osorio
Lisa V. Doan
Lisa V. Doan
Jing Wang
Jing Wang
Jing Wang
author_facet Mika M. Rockholt
Mika M. Rockholt
Rachel R. Wu
Rachel R. Wu
Elaine Zhu
Elaine Zhu
Raven Perez
Raven Perez
Hamleini Martinez
Hamleini Martinez
Jessica J. Hui
Ekow B. Commeh
Romario B. Denoon
Gabrielle Bruno
Braden V. Saba
Daniel Waren
Courtney O'Brien
Vinay K. Aggarwal
Joshua C. Rozell
David Furgiuele
William Macaulay
Ran Schwarzkopf
Evan T. Schulze
Ricardo S. Osorio
Lisa V. Doan
Lisa V. Doan
Jing Wang
Jing Wang
Jing Wang
author_sort Mika M. Rockholt
collection DOAJ
description IntroductionOlder adults undergoing surgery are at risk of postoperative neurocognitive disorders, prompting the need for preoperative cognitive screening in this population. Traditionally, cognitive screening has been conducted in-person using brief assessment tools such as the Montreal Cognitive Assessment (MoCA) or the Mini-Mental State Examination (MMSE). More comprehensive test batteries, such as the Uniform Data Set (UDS) Neuropsychological Battery, and its remote testing version, the Uniform Data Set version 3 tele-adapted test battery (UDS v3.0 T-cog), have been developed to assess cognitive decline in normal aging and disease conditions, but have not been applied in the perioperative setting.MethodsWe assessed the feasibility of using this remote UDS v3.0 T-cog battery for preoperative cognitive assessment in 81 older adults 65+ scheduled for lower extremity joint replacement surgery.ResultsOur results indicate that the UDS v3.0 T-cog achieves 99% completion rates and demonstrates high patient satisfaction. Further, we found 28% of subjects were cognitively impaired in this patient cohort.DiscussionThese findings suggest that the UDS v3.0 T-cog is a feasible tool for assessing cognitive function in the older adult perioperative population. To our knowledge, this is the first study to apply this comprehensive remote test battery in the preoperative setting.
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spelling doaj-art-6eb430d76cd14c2fa2a703e4d660f83a2025-01-17T06:50:44ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652025-01-011610.3389/fnagi.2024.15358301535830Application of the Uniform Data Set version 3 tele-adapted test battery (T-cog) for remote cognitive assessment preoperatively in older adultsMika M. Rockholt0Mika M. Rockholt1Rachel R. Wu2Rachel R. Wu3Elaine Zhu4Elaine Zhu5Raven Perez6Raven Perez7Hamleini Martinez8Hamleini Martinez9Jessica J. Hui10Ekow B. Commeh11Romario B. Denoon12Gabrielle Bruno13Braden V. Saba14Daniel Waren15Courtney O'Brien16Vinay K. Aggarwal17Joshua C. Rozell18David Furgiuele19William Macaulay20Ran Schwarzkopf21Evan T. Schulze22Ricardo S. Osorio23Lisa V. Doan24Lisa V. Doan25Jing Wang26Jing Wang27Jing Wang28Department of Anesthesiology, Perioperative Care, Pain Medicine, New York University Grossman School of Medicine, New York, NY, United StatesInterdisciplinary Pain Research Program, New York University Grossman School of Medicine, New York, NY, United StatesDepartment of Anesthesiology, Perioperative Care, Pain Medicine, New York University Grossman School of Medicine, New York, NY, United StatesInterdisciplinary Pain Research Program, New York University Grossman School of Medicine, New York, NY, United StatesDepartment of Anesthesiology, Perioperative Care, Pain Medicine, New York University Grossman School of Medicine, New York, NY, United StatesInterdisciplinary Pain Research Program, New York University Grossman School of Medicine, New York, NY, United StatesDepartment of Anesthesiology, Perioperative Care, Pain Medicine, New York University Grossman School of Medicine, New York, NY, United StatesInterdisciplinary Pain Research Program, New York University Grossman School of Medicine, New York, NY, United StatesDepartment of Anesthesiology, Perioperative Care, Pain Medicine, New York University Grossman School of Medicine, New York, NY, United StatesInterdisciplinary Pain Research Program, New York University Grossman School of Medicine, New York, NY, United StatesInterdisciplinary Pain Research Program, New York University Grossman School of Medicine, New York, NY, United StatesDepartment of Anesthesiology, Perioperative Care, Pain Medicine, New York University Grossman School of Medicine, New York, NY, United StatesDepartment of Anesthesiology, Perioperative Care, Pain Medicine, New York University Grossman School of Medicine, New York, NY, United StatesDepartment of Orthopedic Surgery, New York University Grossman School of Medicine, New York, NY, United StatesDepartment of Orthopedic Surgery, New York University Grossman School of Medicine, New York, NY, United StatesDepartment of Orthopedic Surgery, New York University Grossman School of Medicine, New York, NY, United StatesDepartment of Psychiatry, New York University Grossman School of Medicine, New York, NY, United StatesDepartment of Orthopedic Surgery, New York University Grossman School of Medicine, New York, NY, United StatesDepartment of Orthopedic Surgery, New York University Grossman School of Medicine, New York, NY, United StatesDepartment of Anesthesiology, Perioperative Care, Pain Medicine, New York University Grossman School of Medicine, New York, NY, United StatesDepartment of Orthopedic Surgery, New York University Grossman School of Medicine, New York, NY, United StatesDepartment of Orthopedic Surgery, New York University Grossman School of Medicine, New York, NY, United StatesDepartment of Neurology, New York University Grossman School of Medicine, New York, NY, United StatesDepartment of Psychiatry, New York University Grossman School of Medicine, New York, NY, United StatesDepartment of Anesthesiology, Perioperative Care, Pain Medicine, New York University Grossman School of Medicine, New York, NY, United StatesInterdisciplinary Pain Research Program, New York University Grossman School of Medicine, New York, NY, United StatesDepartment of Anesthesiology, Perioperative Care, Pain Medicine, New York University Grossman School of Medicine, New York, NY, United StatesInterdisciplinary Pain Research Program, New York University Grossman School of Medicine, New York, NY, United StatesDepartment of Neuroscience and Physiology, New York University Grossman School of Medicine, New York, NY, United StatesIntroductionOlder adults undergoing surgery are at risk of postoperative neurocognitive disorders, prompting the need for preoperative cognitive screening in this population. Traditionally, cognitive screening has been conducted in-person using brief assessment tools such as the Montreal Cognitive Assessment (MoCA) or the Mini-Mental State Examination (MMSE). More comprehensive test batteries, such as the Uniform Data Set (UDS) Neuropsychological Battery, and its remote testing version, the Uniform Data Set version 3 tele-adapted test battery (UDS v3.0 T-cog), have been developed to assess cognitive decline in normal aging and disease conditions, but have not been applied in the perioperative setting.MethodsWe assessed the feasibility of using this remote UDS v3.0 T-cog battery for preoperative cognitive assessment in 81 older adults 65+ scheduled for lower extremity joint replacement surgery.ResultsOur results indicate that the UDS v3.0 T-cog achieves 99% completion rates and demonstrates high patient satisfaction. Further, we found 28% of subjects were cognitively impaired in this patient cohort.DiscussionThese findings suggest that the UDS v3.0 T-cog is a feasible tool for assessing cognitive function in the older adult perioperative population. To our knowledge, this is the first study to apply this comprehensive remote test battery in the preoperative setting.https://www.frontiersin.org/articles/10.3389/fnagi.2024.1535830/fullneurocognitive dysfunctionperioperative cognitive dysfunctionremote cognitive assessmentscreeningfeasibilityneurocognitive disorders
spellingShingle Mika M. Rockholt
Mika M. Rockholt
Rachel R. Wu
Rachel R. Wu
Elaine Zhu
Elaine Zhu
Raven Perez
Raven Perez
Hamleini Martinez
Hamleini Martinez
Jessica J. Hui
Ekow B. Commeh
Romario B. Denoon
Gabrielle Bruno
Braden V. Saba
Daniel Waren
Courtney O'Brien
Vinay K. Aggarwal
Joshua C. Rozell
David Furgiuele
William Macaulay
Ran Schwarzkopf
Evan T. Schulze
Ricardo S. Osorio
Lisa V. Doan
Lisa V. Doan
Jing Wang
Jing Wang
Jing Wang
Application of the Uniform Data Set version 3 tele-adapted test battery (T-cog) for remote cognitive assessment preoperatively in older adults
Frontiers in Aging Neuroscience
neurocognitive dysfunction
perioperative cognitive dysfunction
remote cognitive assessment
screening
feasibility
neurocognitive disorders
title Application of the Uniform Data Set version 3 tele-adapted test battery (T-cog) for remote cognitive assessment preoperatively in older adults
title_full Application of the Uniform Data Set version 3 tele-adapted test battery (T-cog) for remote cognitive assessment preoperatively in older adults
title_fullStr Application of the Uniform Data Set version 3 tele-adapted test battery (T-cog) for remote cognitive assessment preoperatively in older adults
title_full_unstemmed Application of the Uniform Data Set version 3 tele-adapted test battery (T-cog) for remote cognitive assessment preoperatively in older adults
title_short Application of the Uniform Data Set version 3 tele-adapted test battery (T-cog) for remote cognitive assessment preoperatively in older adults
title_sort application of the uniform data set version 3 tele adapted test battery t cog for remote cognitive assessment preoperatively in older adults
topic neurocognitive dysfunction
perioperative cognitive dysfunction
remote cognitive assessment
screening
feasibility
neurocognitive disorders
url https://www.frontiersin.org/articles/10.3389/fnagi.2024.1535830/full
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