Status:

COMPLETED

Perioperative Cognitive Protection - Cognitive Exercise and Cognitive Reserve (The Neurobics Trial)

Lead Sponsor:

Ohio State University

Conditions:

Delirium

Eligibility:

All Genders

60+ years

Phase:

NA

Brief Summary

Many individuals experience an acute change in thinking and reasoning skills after surgery. This is called post-operative delirium (PD). PD symptoms typically start 1-3 days after surgery. Advanced ag...

Detailed Description

Potential study participants will be identified one of two ways, either by the treating physician in clinic when the decision is made to pursue surgery or by researchers monitoring the OR schedule. Wh...

Eligibility Criteria

Inclusion

  • Inclusion Criteria
  • 60 years of age or older
  • Capable and willing to consent
  • Non-cardiac/non-neurological surgery with expected hospital stay of at least 72 H
  • American Society of Anesthesiologists (ASA) physical status I-IV
  • English speaking
  • Willingness to use a provided tablet device
  • Willingness to commit at least 1 hour per day to experimental intervention (cognitive activity/exercise) to complete a minimum of 10 hours within at least 8 days prior to surgery.
  • Exclusion criteria
  • Severe visual or auditory deficits
  • Illiterate
  • Surgery within the previous 6 months requiring general anesthesia
  • Score \< 26 on initial Mini Mental Status Exam (MMSE - modified version) (24 for patients with less than high school education)
  • Positive pre-surgery Confusion Assessment Method test (CAM)
  • Active depression as indicated by Geriatric Depression Scale screening test (score ≥ 10)
  • History of Axis I or II psychiatric disorders including bipolar disorder, schizophrenia, dementia, alcohol or drug abuse
  • ASA physical status V, VI
  • Planned postoperative intubation

Exclusion

    Key Trial Info

    Start Date :

    July 1 2015

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    August 20 2019

    Estimated Enrollment :

    322 Patients enrolled

    Trial Details

    Trial ID

    NCT02230605

    Start Date

    July 1 2015

    End Date

    August 20 2019

    Last Update

    September 11 2019

    Active Locations (1)

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    1

    The Ohio State University Wexner Medical Center

    Columbus, Ohio, United States, 43210