Presentation Details
| Appraisal of an educational program promoting brain health in older surgical patients Aparna Saripella1, Melanie Li1, 2, Yasmin Alhamdah1, 2, 3, Ellene Yan1, 2, 3, Majid Nabipoor1, Frances Chung1, 2, 3. 1Department of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, ON, Canada.2Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.3Krembil Brain Institute, University Health Network, Toronto, ON, Canada |
Abstract
BACKGROUND: Older surgical patients are not aware of the importance of perioperative brain health, including the risk of postoperative delirium (POD) and other neurocognitive disorders. Focused educational program may increase awareness and surgical preparedness.
METHODS: We conducted a multicenter educational study on brain health in adults aged 60 years or more undergoing surgery. Participants completed a 20-item true/false questionnaire on brain health, cognitive impairment and delirium before and after a 15–20-minute educational module. This program provided education on the association between surgery and brain, signs of POD and cognitive impairment (CI), modifiable risk factors and lifestyle choices, and practical tips to prevent delirium like staying hydrated and sleep hygiene. The primary outcome was the change in knowledge score, evaluated using the Wilcoxon signed-rank test. Clinically relevant increase was defined a priori as ≥1.2 points, approximating one additional correct answer. Secondary outcomes included participant satisfaction (5-point Likert scales) and a thematic analysis of open-ended feedback.
RESULTS: Of 141 participants, the median age was 71 [65-74] with 52% male. Patients were predominately white (89%), highly educated (15 [13-17] years), and most underwent orthopedic surgery (54.5%). We observed a knowledge score improvement from 16.3 ± 2.7 (mean ± SD) points to 18.3 ± 2.3 points (P<0.001; Cohen’s d=0.79) after educational intervention (Table). Overall, 73% of patients displayed progress in knowledge about brain health and POD, with 57.4% achieving a clinically relevant increase. The maximum knowledge gain was in POD recognition, prevention, and risk factors (Figure). Educational intervention was the only significant predictor of improvement. Participant satisfaction was high at 86.5% and >90% considered the program to be helpful and relevant.
CONCLUSIONS: An educational module successfully improved participants’ knowledge on brain health and POD. Incorporating focused educational program into preoperative care could improve patient knowledge and surgical preparedness.
No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the author.
METHODS: We conducted a multicenter educational study on brain health in adults aged 60 years or more undergoing surgery. Participants completed a 20-item true/false questionnaire on brain health, cognitive impairment and delirium before and after a 15–20-minute educational module. This program provided education on the association between surgery and brain, signs of POD and cognitive impairment (CI), modifiable risk factors and lifestyle choices, and practical tips to prevent delirium like staying hydrated and sleep hygiene. The primary outcome was the change in knowledge score, evaluated using the Wilcoxon signed-rank test. Clinically relevant increase was defined a priori as ≥1.2 points, approximating one additional correct answer. Secondary outcomes included participant satisfaction (5-point Likert scales) and a thematic analysis of open-ended feedback.
RESULTS: Of 141 participants, the median age was 71 [65-74] with 52% male. Patients were predominately white (89%), highly educated (15 [13-17] years), and most underwent orthopedic surgery (54.5%). We observed a knowledge score improvement from 16.3 ± 2.7 (mean ± SD) points to 18.3 ± 2.3 points (P<0.001; Cohen’s d=0.79) after educational intervention (Table). Overall, 73% of patients displayed progress in knowledge about brain health and POD, with 57.4% achieving a clinically relevant increase. The maximum knowledge gain was in POD recognition, prevention, and risk factors (Figure). Educational intervention was the only significant predictor of improvement. Participant satisfaction was high at 86.5% and >90% considered the program to be helpful and relevant.
CONCLUSIONS: An educational module successfully improved participants’ knowledge on brain health and POD. Incorporating focused educational program into preoperative care could improve patient knowledge and surgical preparedness.
No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the author.
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