DOI:10.29111/ijlrst ISRA Impact Factor:3.35, Peer-reviewed, Open-access Journal
Research Paper Open Access
International Journal of Latest Research in Science and Technology Vol.6 Issue 1, pp 28-31,Year 2017
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Received : 15 January 2017; Accepted : 25 January 2017 ; Published : 28 February 2017
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Postoperative cognitive dysfunction (POCD) is a common multifactorial adverse event frequently in elderly patients. POCD diagnosis usually demands a long neuropsychological battery and specific professional for evaluate the results data as a neuropsychologist. As a tentative to overcome that issue, Mental Plus® video game was developed as a tool to assess cognitive function and future rehabilitation. The primary study objective was MentalPlus® reliability evaluation to assess cognition in healthy volunteers. METHODS: 163 volunteers were randomized to play MentalPlus® versions A and B with a week interval between both moments. Mini-Mental State Examination was applied to assess the volunteers mental state, and we excluded those with scores below 18 or 23 related to a determined educational level. MentalPlus® applicability and reproducibility were evaluated by kappa index and McNemar test. RESULTS: The patients had mean age of 36±16 years; 46 % male; School level mean of 5±2 years, the mean income of 4.6± 3 Brazilian minimum wage and the Mini-Mental score of 28±3, for an expectation of more than 25±3. The MentalPlus® A and B versions results revealed the subsequent kappa coefficients for reliability tests. For general cognitive function, kappa coefficient was 0.7122 (p<0.005); selective attention and alternating attention presented 0.4004 and 0.3998 (p<0.005); long-term memory and inhibitory control had comparable coefficients: 0.4103 and 0.4406 (p<0.005); executive function disclosed a kappa coefficient of 0.4406, through construct inhibitory control. The expected cognitive function scores in MentalPlus® were expressed as a mean and standard deviation and conï¬dence interval of 95%, α=0.05. MentalPlus® versions A and B values were similar when comparing with values adopted by researchers. CONCLUSION: MentalPlus® digital game presented reliable evidence for cognition evaluation. It might be a future accessible tool for POCD evaluation and probable future rehabilitation. Trial registration: www.clinicaltrials.gov Identifier: NCT02551952.
Copyright © 2017 LÃvia Stocco Sanches Valentin et al. This is an open access article distributed under the Creative Commons Attribution 4.0 International (CC BY 4.0) license which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
LÃvia Stocco Sanches Valentin, Valeria Fontenelle Angelim Pereira , " Digital Game: A Scale To Evaluate The Perioperative Cognitive Function (mentalplus?) ", International Journal of Latest Research in Science and Technology . Vol. 6, Issue 1, pp 28-31 , 2017
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