Boston Naming Test as a Screening Tool for Early Postoperative Cognitive Dysfunction in Elderly Patients After Major Noncardiac Surgery.

IF 1 4区医学 Q3 SURGERY

American Surgeon Pub Date : 2024-11-01 Epub Date: 2024-06-07 DOI:10.1177/00031348241260274

Zhang Chen, Bo Meng, Xiaoyu Li, Bo Lu, Xiaojie Zhai, Ruichun Wang, Junping Chen

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引用次数: 0

Abstract

Purpose: The Boston naming test (BNT), as a simple, fast, and easily administered neuropsychological test, was demonstrated to be useful in detecting language function. In this study, BNT was investigated whether it could be a screening tool for early postoperative cognitive dysfunction (POCD).

Methods: This prospective observational cohort study included 132 major noncardiac surgery patients and 81 nonsurgical controls. All participants underwent a mini-mental state examination (MMSE) and BNT 1 day before and 7 days after surgery. Early POCD was assessed by reliable change index and control group results.

Results: Seven days after surgery, among 132 patients, POCD was detected in 30 (22.7%) patients (95% CI, 15.5%-30.0%) based on MMSE, and 45 (34.1%) patients (95% CI, 26.3%-41.9%) were found with postoperative language function decline based on BNT and MMSE. Agreement between the BNT spontaneous naming and MMSE total scoring was moderate (Kappa .523), and the sensitivity of BNT spontaneous naming for detecting early POCD was .767. Further analysis showed that areas under receiver operating characteristics curves (AUC) did not show statistically significant differences when BNT spontaneous naming (AUC .862) was compared with MMSE language functional subtests (AUC .889), or non-language functional subtests (AUC .933).

Conclusion: This study indicates the feasibility of implementing the BNT spontaneous naming test to screen early POCD in elderly patients after major noncardiac surgery.

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波士顿命名测试作为非心脏大手术后老年患者术后早期认知功能障碍的筛查工具。

目的：波士顿命名测试（BNT）是一种简单、快速且易于实施的神经心理学测试，已被证明可用于检测语言功能。本研究探讨了波士顿命名测试是否可作为早期术后认知功能障碍（POCD）的筛查工具：这项前瞻性观察队列研究包括 132 名非心脏大手术患者和 81 名非手术对照组患者。所有参与者都在手术前 1 天和手术后 7 天接受了小型精神状态检查 (MMSE) 和 BNT。通过可靠的变化指数和对照组的结果来评估早期 POCD：术后七天，在 132 名患者中，根据 MMSE，有 30（22.7%）名患者（95% CI，15.5%-30.0%）发现了 POCD，根据 BNT 和 MMSE，有 45（34.1%）名患者（95% CI，26.3%-41.9%）发现了术后语言功能下降。BNT 自发命名和 MMSE 总分之间的一致性为中等（Kappa .523），BNT 自发命名检测早期 POCD 的灵敏度为 .767。进一步的分析表明，当BNT自发命名（AUC.862）与MMSE语言功能子测试（AUC.889）或非语言功能子测试（AUC.933）进行比较时，接收者操作特征曲线下的区域（AUC）没有显示出统计学上的显著差异：本研究表明，采用 BNT 自发命名测试筛查非心脏大手术后老年患者的早期 POCD 是可行的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Surgeon 医学-外科

CiteScore

1.40

自引率

0.00%

发文量

623

期刊介绍： The American Surgeon is a monthly peer-reviewed publication published by the Southeastern Surgical Congress. Its area of concentration is clinical general surgery, as defined by the content areas of the American Board of Surgery: alimentary tract (including bariatric surgery), abdomen and its contents, breast, skin and soft tissue, endocrine system, solid organ transplantation, pediatric surgery, surgical critical care, surgical oncology (including head and neck surgery), trauma and emergency surgery, and vascular surgery.