Remote Cognitive Assessment for Surgical Patients

This is a pilot study to evaluate the use of remote cognitive testing to identify patients who may have cognitive vulnerability and may benefit from cognitive care pathways. Participants in this study are asked to complete a smartphone battery of thinking, memory, speech, and motor function tests on their smartphone.

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Key information

Conditions

Mild Cognitive Impairment Cognition Disorders Cognitive Dysfunction Confusion Delirium Mental Disorders Nervous System Diseases Neurobehavioral Manifestations Neurocognitive Disorders Neurologic Manifestations Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

65 year–99 year

Sex eligibility

All sexes

Study type

Observational

Primary location

University of California San Francisco

San Francisco, California, 94158, United States

About this study

This study is evaluating cognitive function in older adults that are undergoing surgery using remote assessments. Participants complete a battery of neuropsychological assessments prior to their surgery date. The battery includes smartphone adaptions of tests of thinking, memory, speech, and movement. The participant has a one-hour remote visit, where the investigators will conduct a Montreal Cognitive Assessment (MoCA) and have the participant complete the smartphone assessments. After their surgery, participants are evaluated on the delirium rating scale.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Spine surgery with a duration greater than or equal to three hours
Can speak, write, and understand English
Ability to participate in remote visit

Exclusion criteria

Participating in other cognitive studies
Having more than one surgery (planned multiday surgery)
Emergency surgery

Treatment and study plan

Primary outcomes

Number of Patients that develop Postoperative Delirium (POD).

Time frame: Daily after surgery up to discharge from the hospital- an average of days to 2 weeks

Postoperative Delirium is measured by clinical assessment using the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU), or the Nursing Delirium Screen Scale (Nu-DESC). A composite delirium score is calculated, and patient is included in the delirium group if either CAM-ICU or NuDESC screenings are positive during the hospital stay. Electronic medical records will also be evaluated for any delirium diagnosis.

Sponsors and collaborators

Lead sponsor

University of California, San Francisco

Other

Collaborators

National Institute on Aging (NIA)

Registry information

Official study title

Remote Evaluation of Cognitive Function for Older Adults Undergoing Surgery

Acronym: Remote OR

Important dates

Study start: 2022
Primary completion: 2024
Study completion: 2024
First posted: Oct 4, 2022
Registry last updated: Nov 12, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed