Screening for subjective cognitive decline in the elderly via subjective cognitive complaints and informant-reported questionnaires: a systematic review
Abstract Background Subjective cognitive decline may represent at-risk persons progressing to mild cognitive impairment (MCI), which can be exacerbated by effects of anesthesia and surgery. The objective of this systematic review is to identify the most common questions in subjective cognitive compl...
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| Format: | Article |
| Language: | English |
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BMC
2021-11-01
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| Series: | BMC Anesthesiology |
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| Online Access: | https://doi.org/10.1186/s12871-021-01493-5 |
| _version_ | 1818402919735623680 |
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| author | Sara Wasef Isabelle Laksono Paras Kapoor David Tang-Wei David Gold Aparna Saripella Sheila Riazi Sazzadul Islam Marina Englesakis Jean Wong Frances Chung |
| author_facet | Sara Wasef Isabelle Laksono Paras Kapoor David Tang-Wei David Gold Aparna Saripella Sheila Riazi Sazzadul Islam Marina Englesakis Jean Wong Frances Chung |
| author_sort | Sara Wasef |
| collection | DOAJ |
| description | Abstract Background Subjective cognitive decline may represent at-risk persons progressing to mild cognitive impairment (MCI), which can be exacerbated by effects of anesthesia and surgery. The objective of this systematic review is to identify the most common questions in subjective cognitive complaint and informant-reported questionnaires used in assessing cognitive impairment of elderly patients that are correlated with standardized tests for cognitive impairment screening. Methods We searched Medline, PubMed, Embase, Cochrane Central Register of Controlled Trials, Cochrane Database, Emcare Nursing, Web of Science, Scopus, CINAHL, ClinicalTrials.Gov, and ICTRP between September 20, 2005 to August 31, 2020. We included studies that evaluated subjective cognitive complaints and informant-reported questions in elderly patients. Results and conclusion A total of 28,407 patients were included from 22 studies that assessed 21 subjective complaint questionnaires and nine informant-reported questionnaires. The most common subjective cognitive complaints were those assessing anterograde memory, closely followed by perceptual-motor function and executive function. The most common informant-reported questions were those assessing executive function, temporal orientation, and anterograde memory. Questions assessing learning and memory were most associated with results from standardized tests assessing cognitive impairment. Assessing learning and memory plays a key role in evaluating subjective cognitive decline in elderly patients. Delivering subjective cognitive complaints questions to elderly patient preoperatively may aid in screening for those exhibiting cognitive signs, and in turn are at risk of postoperative complications. Thus, the results from this review contribute to knowledge for healthcare professionals regarding the use of subjective cognitive complaints and informant-reported complaints in preoperative settings. |
| first_indexed | 2024-12-14T08:16:01Z |
| format | Article |
| id | doaj.art-54ecec10358f44d49615c0d834bfce77 |
| institution | Directory Open Access Journal |
| issn | 1471-2253 |
| language | English |
| last_indexed | 2024-12-14T08:16:01Z |
| publishDate | 2021-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Anesthesiology |
| spelling | doaj.art-54ecec10358f44d49615c0d834bfce772022-12-21T23:09:55ZengBMCBMC Anesthesiology1471-22532021-11-012111910.1186/s12871-021-01493-5Screening for subjective cognitive decline in the elderly via subjective cognitive complaints and informant-reported questionnaires: a systematic reviewSara Wasef0Isabelle Laksono1Paras Kapoor2David Tang-Wei3David Gold4Aparna Saripella5Sheila Riazi6Sazzadul Islam7Marina Englesakis8Jean Wong9Frances Chung10Department of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, University of TorontoDepartment of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, University of TorontoDepartment of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, University of TorontoDepartment of Neurology, University Health Network, University of TorontoKrembil Neuroscience Centre, Toronto Western Hospital, University Health Network, University of TorontoDepartment of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, University of TorontoDepartment of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, University of TorontoDepartment of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, University of TorontoLibrary & Information Services, University Health NetworkDepartment of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, University of TorontoDepartment of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, University of TorontoAbstract Background Subjective cognitive decline may represent at-risk persons progressing to mild cognitive impairment (MCI), which can be exacerbated by effects of anesthesia and surgery. The objective of this systematic review is to identify the most common questions in subjective cognitive complaint and informant-reported questionnaires used in assessing cognitive impairment of elderly patients that are correlated with standardized tests for cognitive impairment screening. Methods We searched Medline, PubMed, Embase, Cochrane Central Register of Controlled Trials, Cochrane Database, Emcare Nursing, Web of Science, Scopus, CINAHL, ClinicalTrials.Gov, and ICTRP between September 20, 2005 to August 31, 2020. We included studies that evaluated subjective cognitive complaints and informant-reported questions in elderly patients. Results and conclusion A total of 28,407 patients were included from 22 studies that assessed 21 subjective complaint questionnaires and nine informant-reported questionnaires. The most common subjective cognitive complaints were those assessing anterograde memory, closely followed by perceptual-motor function and executive function. The most common informant-reported questions were those assessing executive function, temporal orientation, and anterograde memory. Questions assessing learning and memory were most associated with results from standardized tests assessing cognitive impairment. Assessing learning and memory plays a key role in evaluating subjective cognitive decline in elderly patients. Delivering subjective cognitive complaints questions to elderly patient preoperatively may aid in screening for those exhibiting cognitive signs, and in turn are at risk of postoperative complications. Thus, the results from this review contribute to knowledge for healthcare professionals regarding the use of subjective cognitive complaints and informant-reported complaints in preoperative settings.https://doi.org/10.1186/s12871-021-01493-5Mild cognitive impairmentElderlySubjective cognitive complaintsScreeningSubjective cognitive declineReoperative screening |
| spellingShingle | Sara Wasef Isabelle Laksono Paras Kapoor David Tang-Wei David Gold Aparna Saripella Sheila Riazi Sazzadul Islam Marina Englesakis Jean Wong Frances Chung Screening for subjective cognitive decline in the elderly via subjective cognitive complaints and informant-reported questionnaires: a systematic review BMC Anesthesiology Mild cognitive impairment Elderly Subjective cognitive complaints Screening Subjective cognitive decline Reoperative screening |
| title | Screening for subjective cognitive decline in the elderly via subjective cognitive complaints and informant-reported questionnaires: a systematic review |
| title_full | Screening for subjective cognitive decline in the elderly via subjective cognitive complaints and informant-reported questionnaires: a systematic review |
| title_fullStr | Screening for subjective cognitive decline in the elderly via subjective cognitive complaints and informant-reported questionnaires: a systematic review |
| title_full_unstemmed | Screening for subjective cognitive decline in the elderly via subjective cognitive complaints and informant-reported questionnaires: a systematic review |
| title_short | Screening for subjective cognitive decline in the elderly via subjective cognitive complaints and informant-reported questionnaires: a systematic review |
| title_sort | screening for subjective cognitive decline in the elderly via subjective cognitive complaints and informant reported questionnaires a systematic review |
| topic | Mild cognitive impairment Elderly Subjective cognitive complaints Screening Subjective cognitive decline Reoperative screening |
| url | https://doi.org/10.1186/s12871-021-01493-5 |
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