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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Autores principales: Sara Wasef, Isabelle Laksono, Paras Kapoor, David Tang-Wei, David Gold, Aparna Saripella, Sheila Riazi, Sazzadul Islam, Marina Englesakis, Jean Wong, Frances Chung
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Publicado: BMC 2021
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spelling oai:doaj.org-article:54ecec10358f44d49615c0d834bfce772021-11-14T12:11:46ZScreening for subjective cognitive decline in the elderly via subjective cognitive complaints and informant-reported questionnaires: a systematic review10.1186/s12871-021-01493-51471-2253https://doaj.org/article/54ecec10358f44d49615c0d834bfce772021-11-01T00:00:00Zhttps://doi.org/10.1186/s12871-021-01493-5https://doaj.org/toc/1471-2253Abstract 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.Sara WasefIsabelle LaksonoParas KapoorDavid Tang-WeiDavid GoldAparna SaripellaSheila RiaziSazzadul IslamMarina EnglesakisJean WongFrances ChungBMCarticleMild cognitive impairmentElderlySubjective cognitive complaintsScreeningSubjective cognitive declineReoperative screeningAnesthesiologyRD78.3-87.3ENBMC Anesthesiology, Vol 21, Iss 1, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic Mild cognitive impairment
Elderly
Subjective cognitive complaints
Screening
Subjective cognitive decline
Reoperative screening
Anesthesiology
RD78.3-87.3
spellingShingle Mild cognitive impairment
Elderly
Subjective cognitive complaints
Screening
Subjective cognitive decline
Reoperative screening
Anesthesiology
RD78.3-87.3
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
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.
format article
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
title 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_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_sort screening for subjective cognitive decline in the elderly via subjective cognitive complaints and informant-reported questionnaires: a systematic review
publisher BMC
publishDate 2021
url https://doaj.org/article/54ecec10358f44d49615c0d834bfce77
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