Applicability of SPMSQ in illiterate outpatients in clinics: The validity and reliability of the Short Portable Mental Status Questionnaire

Kojaie-Bidgoli, Afsaneh; Fadayevatan, Reza; Sharifi, Farshad; Alizadeh-Khoei, Mahtab; Vahabi, Zahra; Aminalroaya, Reyhaneh

doi:10.1080/23279095.2020.1792909

Cited by 10 publications

(11 citation statements)

References 21 publications

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“…The results of this work showed that the postoperative SPMSQ score in patients with GA+SA was lower than that in patients with GA alone. Because the GA method requires the use of a large number of anesthetics to block neuronal signaling and also reduces the patient's cerebral blood flow, it will cause postoperative cognitive impairment in patients [ 30 , 31 ]. In contrast, SA uses a small number of anesthetics and injects anesthesia into the spinal canal space to block neurons.…”

Section: Discussionmentioning

confidence: 99%

Clinical Observation of General Anesthesia Combined with Spinal Anesthesia in Elderly Patients with Chronic Obstructive Pulmonary Disease

Chen

Wang

Duan

et al. 2022

BioMed Research International

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Objective. This work is aimed at evaluating the efficacy and safety of general anesthesia (GA) combined with spinal anesthesia (SA) (GA+SA) in elderly patients with chronic obstructive pulmonary disease (COPD). Methods and Material. 50 elderly COPD patients were rolled randomly into a control group (simple GA) and observation group (GA+SA). The differences in operation time, postoperative recovery time (PRT), language expression time (LET), anesthetic dosage (AD), catheter extubation time (CET), respiratory circulation indicators (mean arterial pressure (MAP), heart rate (HR), SaO2, and PaO2), postoperative VRS score, pulmonary function (forced vital capacity (FVC)), forced expiratory volume in 1 s (FEV1)/FVC and forced expiratory flow (FEF 25%~75%), serum inflammatory factors (IL-6, IL-8, and TNF-α), Short Portable Mental Status Questionnaire (SPMSQ) score, and the incidence of respiratory system events were analyzed. Results. The results showed that the PRT, LET, AD, and CET of the observation group were all shorter ( P < 0.05 ). The postoperative MAP, HR, SaO2, and PaO2 levels of patients who received GA+SA were much higher than those who received simple GA ( P < 0.05 ). The postoperative VRS score of the observation group was better than that of the controls ( P < 0.05 ). The postoperative pulmonary function of patients in the observation group was better compared with that in the control group ( P < 0.05 ). The postoperative serum inflammatory factors in the observation group were lower in contrast to the patients who received simple GA ( P < 0.05 ). The postoperative cognitive function SPMSQ score of patients who received GA+SA was lower compared with the score of patients who received simple GA ( P < 0.05 ). However, the probability of respiratory system events in the observation group was lower ( P < 0.05 ). Conclusion. In conclusion, GA+SA could significantly shorten the PRT and improve the recovery quality of elderly COPD patients. It can also reduce the postoperative inflammatory response and strengthen the pulmonary function and cognitive function. It also enhances the analgesic which is beneficial to patients’ postoperative recovery. Therefore, GA+SA was a highly effective and safe anesthesia method for elderly patients with COPD, and it was worthy of clinical application.

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Section: Discussionmentioning

confidence: 99%

Clinical Observation of General Anesthesia Combined with Spinal Anesthesia in Elderly Patients with Chronic Obstructive Pulmonary Disease

Chen

Wang

Duan

et al. 2022

BioMed Research International

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“…Copyrighted, but may be used without permission in clinical and educational settings [73] Six 🗸 🗸 🗸 0-3 errors = normal [79] 5-10 min [80] Can be applied without formal training [81] Freely available Open access Three languages: English, Spanish, and Iranian [66,82] No Suitable for telephone consultation ≥3 = Lower likelihood of dementia [73] 3 min [69] Training not required, 90% concordance between "expert" and regular raters [44] No cost…”

Section: No Specific Training Is Recommendedmentioning

confidence: 99%

“…There is a cost to purchasing tests [74] Copyrighted 75 languages [74] Many variations are published [75,76] Validated telephone versions are available [77] MoCA [57] 🗸 🗸 🗸 🗸 🗸 🗸 >26 = normal ≤26 = Abnormal [57] 10 min [ [79] 5-10 min [80] Can be applied without formal training [81] Freely available Open access Three languages: English, Spanish, and Iranian [66,82] No Suitable for telephone consultation…”

Section: No Specific Training Is Recommendedmentioning

confidence: 99%

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Cognitive Assessment Tools Recommended in Geriatric Oncology Guidelines: A Rapid Review

et al. 2021

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Cognitive assessment is a cornerstone of geriatric care. Cognitive impairment has the potential to significantly impact multiple phases of a person’s cancer care experience. Accurately identifying this vulnerability is a challenge for many cancer care clinicians, thus the use of validated cognitive assessment tools are recommended. As international cancer guidelines for older adults recommend Geriatric Assessment (GA) which includes an evaluation of cognition, clinicians need to be familiar with the overall interpretation of the commonly used cognitive assessment tools. This rapid review investigated the cognitive assessment tools that were most frequently recommended by Geriatric Oncology guidelines: Blessed Orientation-Memory-Concentration test (BOMC), Clock Drawing Test (CDT), Mini-Cog, Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), and Short Portable Mental Status Questionnaire (SPMSQ). A detailed appraisal of the strengths and limitations of each tool was conducted, with a focus on practical aspects of implementing cognitive assessment tools into real-world clinical settings. Finally, recommendations on choosing an assessment tool and the additional considerations beyond screening are discussed.

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“…O instrumento de medida apresenta uma consistência interna boa, Alfa Cronbach s 0,88, reprodutibilidade excelente, coeficiente de correlação interclasse ICC=0,966. A validade de constructo foi obtida pelo teste de correlação de Spearman com as escalas, The Abbreviated Mental Test (AMT), Six-item Cognitivo Impairment Test (6-CIT) e Global Deteriorarion Scale (GDS), coeficiente entre 0,844 e 0,890 (kojaie-Bidgoli et al, 2020).…”

Section: Metodologia E Instrumentos Utilizadosunclassified

Ganhos em saúde em utentes internados em unidades de media duração e reabilitação

Almeida

Amoedo

Morais

et al. 2021

Revista INFAD de Psicología

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O envelhecimento da população, o aumento das patologias crónicas e as mudanças de perfil da rede familiar obrigaram a repensar os cuidados de saúde. Criou-se, assim, a Rede Nacional de Cuidados Continuados Integrados, sendo a Unidade de Média Duração e Reabilitação (UMDR) uma das tipologias de cuidados e foco de análise do presente estudo. Pretende-se avaliar os ganhos em saúde obtidos com o internamento em UMDR ao nível do estado cognitivo, do risco de queda e da independência funcional; relacionar o estado cognitivo no momento da admissão com a independência funcional no momento da alta; analisar os ganhos a nível do estado cognitivo, do risco de queda e da independência funcional em função do género. Realizou-se um estudo observacional, analítico e retrospectivo, segundo a metodologia STROBE. Partiu-se da análise documental inerente à base de dados da UMDR, dos doentes internados no período de 1/01/2017 a 31/12/2020, perfazendo 342 indivíduos, dos quais 33 foram excluídos. Recolheram-se dados relativos à caraterização sociodemográfica, ao momento de admissão e ao momento da alta do estado cognitivo, do risco de queda e da independência funcional, avaliados respetivamente através dos seguintes instrumentos, Short Portable Mental Status Questionnaire, Berg Balance Scale e Índice de Barthel. Definiu-se o nível de significância de 5%. A amostra foi constituída por 309 indivíduos, maioritariamente do sexo masculino, 56% (n=173), com média ± Desvio Padrão de idade 73,9±12,2 anos, casados 39,8% (n=123), reformados 83,8% (n=259) e com um diagnóstico principal de acidente vascular cerebral 45,6% (n=141). O estudo evidenciou ganhos em saúde estatisticamente significativos ao nível do estado cognitivo, do risco de queda e da independência funcional (p≤0,001). Verificaram-se diferenças estatisticamente significativas no nível da independência funcional no momento da alta, atendendo ao estado cognitivo inicial (p≤0,001) e, entre géneros, ao nível dos ganhos em saúde de estado cognitivo (p=0,016), risco de queda (p≤0,001) e independência funcional (p≤0,001).

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Applicability of SPMSQ in illiterate outpatients in clinics: The validity and reliability of the Short Portable Mental Status Questionnaire

Cited by 10 publications

References 21 publications

Clinical Observation of General Anesthesia Combined with Spinal Anesthesia in Elderly Patients with Chronic Obstructive Pulmonary Disease

Clinical Observation of General Anesthesia Combined with Spinal Anesthesia in Elderly Patients with Chronic Obstructive Pulmonary Disease

Cognitive Assessment Tools Recommended in Geriatric Oncology Guidelines: A Rapid Review

Ganhos em saúde em utentes internados em unidades de media duração e reabilitação

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