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Cognitive and Physical Optimization in Prevention of Postoperative Cognitive Deficit in Elderly With Lung Resection

RecruitingNAAges 60 Years - anyAllMilitary Medical Academy, Belgrade, Serbia
NCT06339268 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Postoperative cognitive deficit and its connection with surgery and general anesthesia were first mentioned in the literature in 1955 by Bradford. Cognitive disorders in the postoperative period are postoperative delirium (POD) and postoperative cognitive dysfunction (POCD). POD is an acute dysfunction in cognition, which did not exist preoperatively. Attention deficit disorder is the main symptom of POD and refers to the inability to direct, focus, maintain, or shift attention. Memory impairment, disorientation, or perceptual disturbances may also be present. Cognitive capacity changes in POD patients develop and fluctuate in the first few days after surgery. Unlike POD, there is no formal definition for POCD. Based on data from the existing literature, it is defined as newly diagnosed cognitive deterioration that occurs after surgery. The diagnosis of POCD should be based on pre- and p

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📋 Eligibility rules (as published)
Inclusion Criteria: * Older than 60 years * Elective lung resection operations * Patients who can use a phone or tablet * Patients who agreed to participate in the study * Clinical scale of weakness less than 6 * The American Society of Anesthesiologists (ASA) status I, II, III, IV Exclusion Criteria: * Under 60 years of age * Significant psychiatric comorbidity (schizophrenia, depression, alcoholism) * Significant neurological comorbidity (dementia, cerebrovascular insult in the last 6 months, parkinsonism) * Patient's refusal to participate in the study * The inability of the patient to use a tablet or phone * The American Society of Anesthesiologists (ASA) status V and VI * Clinical weakness scale 6 and above
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What it tests

  • Cognitive training, CogniFit App
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Where

1 site
Military Medical Academy
Belgrade, Serbia
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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