Further research is needed to better define validity and correlation with postoperative outcomes. This test is feasible for virtual assessments. Preoperative cognitive assessment of older adults using T-MoCA over the phone is easy to perform by clinicians and had a high completion rate by patients.

Clinician’s survey reported ease and feasibility in performing T-MoCA as a preoperative cognitive evaluation. Most patients (37/40) completed the post-operative assessment, and 6/37 (16.2%) reported they had experienced a change in memory or attention post-operatively. Median completion time of the phone assessment was 10 min (IQR 8.25-12) and 4 min (IQR 3-5) for the T-MoCA with a median T-MoCA score of 13 (IQR 12-14). Preoperatively, the median number of medications was 8 (IQR 7-11), 27/40 (67.5%) had medications with anticholinergic effects, and 6/40 (15%) had benzodiazepines.

The cohort was 50% female, white (97.5%), with a median age of 76 years (interquartile range (IQR) 73-79), and education level was higher than high school in 82.5% of patients. Overall, 37/40 (92.5%) patients completed the pre- and post-operative assessments. MeasurementsĪn attention test, T-MoCA, Activities of Daily Living (ADL), Instrumental Activities of Daily Living (IADL), and Generalized Anxiety Disorder 2-item (GAD-2) Main results Follow-up assessment was completed 1-month postoperatively, and participating clinicians were surveyed at the completion of the study. Patients ≥70 years undergoing major elective surgery InterventionĪ study investigator called eligible patients prior to surgery, obtained consent, and completed the preoperative cognitive assessment. To assess the feasibility of administering the MoCA 5-minute test/Telephone (T-MoCA), an abbreviated version of the Montreal Cognitive Assessment to older adults perioperatively DesignĪ feasibility study including patients aged ≥ 70 years scheduled for surgery from December 2020 to March 2021 Setting

Moca test and others for dementia