Frontiers in Aging Neuroscience (Jan 2025)

Application of the Uniform Data Set version 3 tele-adapted test battery (T-cog) for remote cognitive assessment preoperatively in older adults

  • Mika M. Rockholt,
  • Mika M. Rockholt,
  • Rachel R. Wu,
  • Rachel R. Wu,
  • Elaine Zhu,
  • Elaine Zhu,
  • Raven Perez,
  • Raven Perez,
  • Hamleini Martinez,
  • Hamleini Martinez,
  • Jessica J. Hui,
  • Ekow B. Commeh,
  • Romario B. Denoon,
  • Gabrielle Bruno,
  • Braden V. Saba,
  • Daniel Waren,
  • Courtney O'Brien,
  • Vinay K. Aggarwal,
  • Joshua C. Rozell,
  • David Furgiuele,
  • William Macaulay,
  • Ran Schwarzkopf,
  • Evan T. Schulze,
  • Ricardo S. Osorio,
  • Lisa V. Doan,
  • Lisa V. Doan,
  • Jing Wang,
  • Jing Wang,
  • Jing Wang

DOI
https://doi.org/10.3389/fnagi.2024.1535830
Journal volume & issue
Vol. 16

Abstract

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IntroductionOlder adults undergoing surgery are at risk of postoperative neurocognitive disorders, prompting the need for preoperative cognitive screening in this population. Traditionally, cognitive screening has been conducted in-person using brief assessment tools such as the Montreal Cognitive Assessment (MoCA) or the Mini-Mental State Examination (MMSE). More comprehensive test batteries, such as the Uniform Data Set (UDS) Neuropsychological Battery, and its remote testing version, the Uniform Data Set version 3 tele-adapted test battery (UDS v3.0 T-cog), have been developed to assess cognitive decline in normal aging and disease conditions, but have not been applied in the perioperative setting.MethodsWe assessed the feasibility of using this remote UDS v3.0 T-cog battery for preoperative cognitive assessment in 81 older adults 65+ scheduled for lower extremity joint replacement surgery.ResultsOur results indicate that the UDS v3.0 T-cog achieves 99% completion rates and demonstrates high patient satisfaction. Further, we found 28% of subjects were cognitively impaired in this patient cohort.DiscussionThese findings suggest that the UDS v3.0 T-cog is a feasible tool for assessing cognitive function in the older adult perioperative population. To our knowledge, this is the first study to apply this comprehensive remote test battery in the preoperative setting.

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