Assessment of brain impairment with the rey auditory verbal learning test: A comparison with other neuropsychological measures

Powell, John B.; Cripe, Lloyd I.; Dodrill, Carl B.

doi:10.1093/arclin/6.4.241

Cited by 59 publications

(9 citation statements)

References 12 publications

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“…The tests assessed a number of cognitive domains known to be affected by cardiac surgery. 17,18 The test battery consisted of the Rey Auditory Verbal Learning Test, 19 Rey Complex Figure Test, 20 Controlled Oral Word Association Test, 21 Symbol Digits Modalities Test, 22 Trail Making Tests A and B, 23 and Grooved Pegboard Test. 24 Other patient and perioperative characteristics were abstracted from the electronic health record by trained research staff.…”

Section: Neuropsychologic Testing and Other Patient And Perioperative...mentioning

confidence: 99%

Perioperative Neurofilament Light Plasma Concentrations and Cognition before and after Cardiac Surgery: A Prospective Nested Cohort Study

et al. 2022

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Background Neurofilament light is a marker of neuronal injury and can be measured in blood. Postoperative increases in neurofilament light have been associated with delirium after noncardiac surgery. However, few studies have examined the association of neurofilament light changes with postdischarge cognition in cardiac surgery patients, who are at highest risk for neuronal injury and cognitive decline. The authors hypothesized that increased neurofilament light (both baseline and change) would be associated with worse neuropsychological status up to 1 yr after cardiac surgery. Methods This observational study was nested in a trial of cardiac surgery patients, in which blood pressure during bypass was targeted using cerebral autoregulation monitoring. Plasma concentrations of neurofilament light were measured at baseline and postoperative day 1. Neuropsychological testing was performed at baseline, 1 month after surgery, and 1 yr after surgery. Primary outcomes were baseline and change from baseline in a composite z-score of all cognitive tests. Results Among 167 patients, cognitive outcomes were available in 80% (134 of 167) and 61% (102 of 167) at 1 month and 1 yr after surgery, respectively. The median baseline concentration of neurofilament light was 18.2 pg/ml (interquartile range, 13.4 to 28.1), and on postoperative day 1 was 28.5 pg/ml (interquartile range, 19.3 to 45.0). Higher baseline log neurofilament light was associated with worse baseline cognitive z-score (adjusted slope, –0.60; 95% CI, –0.90 to –0.30; P < 0.001), no change in z-score from baseline to 1 month (0.11; 95% CI, –0.19 to 0.41; P = 0.475), and improvement in z-score from baseline to 1 yr (0.56; 95% CI, 0.31 to 0.81; P < 0.001). Whereas some patients had an improvement in cognition at 1 yr and others a decline, an increase in neurofilament light from baseline to postoperative day 1 was associated with a greater decline in cognition at 1 yr. Conclusions Higher baseline neurofilament light concentration was associated with worse baseline cognition but improvement in cognition at 1 yr. A postoperative increase in neurofilament light was associated with a greater cognitive decline at 1 yr. Editor’s Perspective What We Already Know about This Topic What This Manuscript Tells Us That Is New

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Section: Neuropsychologic Testing and Other Patient And Perioperative...mentioning

confidence: 99%

Perioperative Neurofilament Light Plasma Concentrations and Cognition before and after Cardiac Surgery: A Prospective Nested Cohort Study

et al. 2022

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“…Both show varying degrees of sensitivity to the presence of a variety of clinical disorders (Wechsler, 2009). The AVLT words recalled on Trial 5 provided the single best score in a comprehensive battery of tests, including the HRB, for discriminating between a group of patients with brain dysfunction and normal controls (Powell, Cripe, & Dodrill, 1991). Loring et al (2008) found a Cohen's d of 0.47 associated with AVLT differences between patients with left and right temporal lobe epilepsy, which was significantly larger than the value of 0.29 for discriminating between patients with left and right temporal lobe epilepsy on the basis of their California Verbal Learning Test scores.…”

Section: Selecting the Appropriate Test Batterymentioning

confidence: 99%

Selection of tests and batteries for forensic neuropsychological evaluations.

Larrabee¹

2017

APA Handbook of Forensic Neuropsychology.

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“…The tests assessed a number of cognitive domains known to be associated with vascular disease and thus potentially affected in individuals after cardiac surgery. [10][11][12] The testing battery consisted of the Rey Auditory Verbal Learning Test (RAVLT), 13 Delirium was assessed using a validated chart-review method. 19 Because clinical judgment was required, a research assistant who one of the authors (KN, a psychiatrist) trained in formal delirium assessment performed all the chart abstractions using a chart-based instrument.…”

Section: Olfaction Testingmentioning

confidence: 99%

Impaired Olfaction and Risk of Delirium or Cognitive Decline After Cardiac Surgery

Brown

Morrissey

Ono³

et al. 2015

J American Geriatrics Society

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Summary Statement Impaired olfaction, identified in 33% of patients undergoing cardiac surgery, was associated with the adjusted risk for postoperative delirium but not cognitive decline. Objectives The prevalence and significance of impaired olfaction is not well characterized in patients undergoing cardiac surgery. Because impaired olfaction has been associated with underlying neurologic disease, impaired olfaction may identify patients who are vulnerable to poor neurological outcomes in the perioperative period. The objective of this study was to determine the prevalence of impaired olfaction among patients presenting for cardiac surgery and the independent association of impaired olfaction with postoperative delirium and cognitive decline. Design Nested prospective cohort study Setting Academic hospital Participants 165 patients undergoing coronary artery bypass and/or valve surgery Measurements Olfaction was measured using the Brief Smell Identification Test, with impaired olfaction defined as an olfactory score < 5th percentile of normative data. Delirium was assessed using a validated chart-review method. Cognitive performance was assessed using a neuropsychological testing battery at baseline and 4–6 weeks after surgery. Results Impaired olfaction was identified in 54 of 165 patients (33%) prior to surgery. Impaired olfaction was associated with increased adjusted risk for postoperative delirium (relative risk [RR] 1.90, 95% CI 1.17–3.09; P=0.009). There was no association between impaired olfaction and change in composite cognitive score in the overall study population. Conclusion Impaired olfaction is prevalent in patients undergoing cardiac surgery and is associated with increased adjusted risk for postoperative delirium, but not cognitive decline. Impaired olfaction may identify unrecognized vulnerability for postoperative delirium among patients undergoing cardiac surgery.

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Assessment of brain impairment with the rey auditory verbal learning test: A comparison with other neuropsychological measures

Cited by 59 publications

References 12 publications

Perioperative Neurofilament Light Plasma Concentrations and Cognition before and after Cardiac Surgery: A Prospective Nested Cohort Study

Perioperative Neurofilament Light Plasma Concentrations and Cognition before and after Cardiac Surgery: A Prospective Nested Cohort Study

Selection of tests and batteries for forensic neuropsychological evaluations.

Impaired Olfaction and Risk of Delirium or Cognitive Decline After Cardiac Surgery

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