Mini-Cog for the detection of dementia within a primary care setting

Seitz, Dallas; Chan, Calvin; Newton, Hailey T; Gill, Sudeep S.; Herrmann, Nathan; Smailagic, Nadja; Nikolaou, Vasilis; Fage, Bruce A

doi:10.1002/14651858.cd011415.pub3

Cited by 8 publications

(5 citation statements)

References 101 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…POD was evaluated by the Mini-Cog 24 h before the operation, 6 hours after the operation, 1 day after the operation, 3 days after the operation, and 1 week after the operation. Mini-Cog is a cognitive assessment, which comprises a memorial assignment implicating the remembrance of three words and the assessment of a clock drawing mission [20]. e higher the score is, the better the cognitive function.…”

Section: Pocd Assessmentmentioning

confidence: 99%

Prevention of Dexmedetomidine on Postoperative Delirium and Early Postoperative Cognitive Dysfunction in Elderly Patients Undergoing Thoracoscopic Lobectomy

Zhao

Wang

Ding

et al. 2022

Evidence-Based Complementary and Alternative Medicine

View full text Add to dashboard Cite

Objective. To investigate the effect of dexmedetomidine on postoperative cognitive function and delirium in elderly patients undergoing thoracoscopic lobectomy. Methods. 109 elderly patients (age is more than 65 years) who underwent thoracoscopic lobectomy in our hospital from June 2020 to Feb 2022 were randomly divided into the dexmedetomidine (DEX) group (n = 54) and the control group (n = 55). The patients in the experimental group were given dexmedetomidine by intravenous pump, intravenous pump 0.5 μg/kg within 10 minutes, and maintained the speed of 0.5 μg/(kg. h) to 30 min before the operation was ended. The control group was given the same amount of normal saline. Delirium assessment-severity (CAM-S) assessment and Mini-Cog were used to assess the severity levels of POD and POCD 24 h before, 6 hours after, one day after the operation, three days after the operation, and 1 week after the operation. Serum TNF-αα and NSE levels were assessed by using enzyme-linked immunosorbent assay. NRS pain marks were assessed in the DEX group at postanesthesia care unit (PACU) and 24 postoperation. Surgical pierhysmographic index (SPI) evaluation was performed at five time points. Results. The Mini-Cog scores in the DEX group were markedly enhanced compared with those in the saline group 6 and 24 hours after the operation. The SPI values in the DEX group were markedly reduced within 2 min after intubation and at surgical sutures. Moreover, the CAM scores in the DEX group were markedly reduced 24 hours after the operation. Tumor necrosis factor-α (TNF-α) and neuron-specific enolase (NSE) levels were significantly decreased in the DEX group at T1∼T3. Conclusion. The use of dexmedetomidine in the thoracoscopic lobectomy in elderly patients could reduce the occurrence and severity of postoperative cognitive dysfunction and delirium.

show abstract

Section: Pocd Assessmentmentioning

confidence: 99%

Prevention of Dexmedetomidine on Postoperative Delirium and Early Postoperative Cognitive Dysfunction in Elderly Patients Undergoing Thoracoscopic Lobectomy

Zhao

Wang

Ding

et al. 2022

Evidence-Based Complementary and Alternative Medicine

View full text Add to dashboard Cite

show abstract

“…The Mini-Cog test, on the other hand, is simple to administer and does not require a standardized template [20,35]. Several studies have explored it as a tool for pre-anesthetic cognitive assessments [23,34,36]. The Mini-Cog test consists of two components: items that assess memory, such as word recall, and a clock drawing test that evaluates cognitive domains such as language, fine motor skills, and executive function [35].…”

Section: Preoperative Assessment Of Neurocognitive Disordersmentioning

confidence: 99%

“…The incidence of POCD is significantly lower in ambulatory surgery than in inpatient surgery [2]. However, because older patients are more likely to have preexisting cognitive impairment [32] and surgery in elderly patients can result in rapid cognitive decline [36,56], prevention and treatment of POCD should not be neglected despite the low incidence. To evaluate for the development of POCD, baseline cognitive function needs to be assessed preoperatively.…”

Section: Pocdmentioning

confidence: 99%

Postoperative neurocognitive disorders in ambulatory surgery: a narrative review

In,

Chen,

Bae

et al. 2024

Korean J Anesthesiol

View full text Add to dashboard Cite

Postoperative neurocognitive disorders (PoNCDs), such as postoperative delirium and cognitive dysfunction or decline can occur after surgery, especially in older patients. This significantly affects patient morbidity and surgical outcomes. Among various risk factors, recent studies have shown that preoperative frailty is associated with developing these conditions. Although the mechanisms underlying PoNCDs remain unclear, neuroinflammation appears to play an important role in their development. For the prevention and treatment of PoNCDs, medication modification, a balanced diet, and prehabilitation and rehabilitation programs have been suggested. The risk of developing PoNCDs is thought to be lower in ambulatory patients. However, owing to technological advancements, an increasing number of older and sicker patients are undergoing more complex surgeries and are often not closely monitored after discharge. Therefore, equal attention should be paid to all patient populations. This article presents an overview of PoNCDs and highlights issues of particular interest for ambulatory surgery.

show abstract

“…Previous systematic reviews have examined the Mini-Cog in detecting only dementia, not MCI, nor CI (either MCI or dementia) in primary [13,14] and secondary care settings across all ages [13][14][15]. The limited number of included studies in the previous reviews was insufficient to determine the accuracy of the Mini-Cog to detect dementia [13][14][15].…”

Section: Plos Onementioning

confidence: 99%

“…Previous systematic reviews have only explored the diagnostic accuracy of the Mini-Cog to detect only dementia across all age groups in primary [13,14] or secondary care settings [13][14][15]. MCI patients can be either amnestic or non-amnestic.…”

Section: Introductionmentioning

confidence: 99%

The diagnostic accuracy of the Mini-Cog screening tool for the detection of cognitive impairment—A systematic review and meta-analysis

Abayomi,

Sritharan,

Yan

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

Background The Mini-Cog is a rapid screening tool that can be administered to older adults to detect cognitive impairment (CI); however, the accuracy of the Mini-Cog to detect CI for older patients in various healthcare settings is unclear. Objectives To evaluate the diagnostic accuracy of the Mini-Cog to screen for cognitive impairment in older patients across different healthcare settings. Methods/Design We searched nine electronic databases (including MEDLINE, Embase) from inception to January 2023. We included studies with patients ≥60 years old undergoing screening for cognitive impairment using the Mini-Cog across all healthcare settings. A cut-off of ≤ 2/5 was used to classify dementia, mild cognitive impairment (MCI), and cognitive impairment (defined as either MCI or dementia) across various settings. The diagnostic accuracy of the Mini-Cog was assessed against gold standard references such as the Diagnostic and Statistical Manual of Mental Disorders (DSM). A bivariate random-effects model was used to estimate accuracy and diagnostic ability. The risk of bias was assessed using QUADAS-2 criteria. Results The systematic search resulted in 4,265 articles and 14 studies were included for analysis. To detect dementia (six studies, n = 4772), the Mini-Cog showed 76% sensitivity and 83% specificity. To detect MCI (two studies, n = 270), it showed 84% sensitivity and 79% specificity. To detect CI (eight studies, n = 2152), it had 67% sensitivity and 83% specificity. In the primary care setting, to detect either MCI, dementia, or CI (eight studies, n = 5620), the Mini-Cog demonstrated 73% sensitivity and 84% specificity. Within the secondary care setting (seven studies, n = 1499), the Mini-Cog to detect MCI, dementia or CI demonstrated 73% sensitivity and 76% specificity. A high or unclear risk of bias persisted in the patient selection and timing domain. Conclusions The Mini-Cog is a quick and freely available screening tool and has high sensitivity and specificity to screen for CI in older adults across various healthcare settings. It is a practical screening tool for use in time-sensitive and resource-limited healthcare settings.

show abstract

Mini-Cog for the detection of dementia within a primary care setting

Cited by 8 publications

References 101 publications

Prevention of Dexmedetomidine on Postoperative Delirium and Early Postoperative Cognitive Dysfunction in Elderly Patients Undergoing Thoracoscopic Lobectomy

Prevention of Dexmedetomidine on Postoperative Delirium and Early Postoperative Cognitive Dysfunction in Elderly Patients Undergoing Thoracoscopic Lobectomy

Postoperative neurocognitive disorders in ambulatory surgery: a narrative review

The diagnostic accuracy of the Mini-Cog screening tool for the detection of cognitive impairment—A systematic review and meta-analysis

Contact Info

Product

Resources

About