Loewenstein occupational therapy cognitive assessment and mini-mental state examination in evaluating the cognitive function of patients received cardiac surgery:a comparative study
10.3760/cma.j.issn.1671-8925.2011.10.023
- VernacularTitle:Loewenstein认知评定量表与简易精神状态量表对心脏手术患者认知功能评估的比较
- Author:
Xiao-Ming L(U)
1
;
Quan-Xin FAN
Author Information
1. 山东大学附属山东省立医院
- Keywords:
Loewenstein occupational therapy cognitive assessment;
Mini-mental state examination;
Postoperative cognitive dysfunction
- From:
Chinese Journal of Neuromedicine
2011;10(10):1063-1066
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate whether Loewenstein occupational therapy cognitive assessment (LOTCA) can be used in the diagnosis of postoperative cognitive dysfunction (POCD) by comparing it with mini-mental state examination (MMSE).Methods Thirty patients performed cardiac valve replacement surgery in our hospital from October 2010 to March 2011 were chosen; the cognitive function of these patients were neuropsychologically evaluated by MMSE and LOTCA 1 d before and 7 d after the surgery; the differences of accurately diagnostic rate on POCD,the scores and the time-consuming when MMSE and LOTCA were chosen were compared.Results Thirteen patients (43.33％) were diagnosed as having POCD by MMSE and 17 patients (56.67％) by LOTCA; the difference of accurately diagnostic rate on POCD was not statistically significant (x2=1.067,P=0.302).MMSE scores,LOTCA scores and scores of 4 subtests (motor praxis,visuomotor organization,operation of thinking,and attention and concentration) 7 d after the surgery was significantly decreased as compared with those 1 d before the surgery (P＜0.05).MMSE scores were highly correlated with LOTCA scores (γ=0.711,P=0.005).Conclusion LOTCA can be used in the diagnosis and research of POCD.It can do a more comprehensive assessment than MMSE in cognitive function with longer times.
