The clock drawing test is a poor screening tool for postoperative delirium and cognitive dysfunction after aortic repair

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Literature review of the Clock Drawing Test as a tool for cognitive screening.

BACKGROUND/AIMS The Clock Drawing Test (CDT) is used in clinical practice for the screening of cognitive disorders. This systematic review aims to present and discuss the CDT scoring methods available in the literature, in order to find differences in administration and utility of the CDT. METHODS A literature search was carried out in Medline (1966 to June 2008), Psychinfo (1967 to June 2008...

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Postoperative delirium and cognitive dysfunction.

Postoperative delirium and cognitive dysfunction (POCD) are topics of special importance in the geriatric surgical population. They are separate entities, whose relationship has yet to be fully elucidated. Although not limited to geriatric patients, the incidence and impact of both are more profound in geriatric patients. Delirium has been shown to be associated with longer and more costly hosp...

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Biomarkers of postoperative delirium and cognitive dysfunction

Elderly surgical patients frequently experience postoperative delirium (POD) and the subsequent development of postoperative cognitive dysfunction (POCD). Clinical features include deterioration in cognition, disturbance in attention and reduced awareness of the environment and result in higher morbidity, mortality and greater utilization of social financial assistance. The aging Western societ...

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PRACTICE OF EPIDEMIOLOGY Validity of the Clock-Drawing Test as a Screening Tool for Cognitive Impairment in the Elderly

The authors studied the validity of the Clock-Drawing Test (CDT) in comparison with the Mini-Mental State Examination (MMSE) and the association between the CDT and mortality in a large general population sample of persons aged 75 years or more. Data were obtained from the MRC Trial of the Assessment and Management of Older People in the Community. Baseline assessments were conducted between 19...

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Cognitive trajectories after postoperative delirium.

BACKGROUND Delirium is common after cardiac surgery and may be associated with long-term changes in cognitive function. We examined postoperative delirium and the cognitive trajectory during the first year after cardiac surgery. METHODS We enrolled 225 patients 60 years of age or older who were planning to undergo coronary-artery bypass grafting or valve replacement. Patients were assessed pr...

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ژورنال

عنوان ژورنال: Canadian Journal of Anesthesia/Journal canadien d'anesthésie

سال: 2010

ISSN: 0832-610X,1496-8975

DOI: 10.1007/s12630-010-9448-4