Assessment of mental competency of patients, before surgery

Rolle, A; Vargas, C; Paredes, S; López, R

Assessment of mental competency of patients, before surgery

Rolle, A Vargas, C Paredes, S López, R

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Publication Type:: Journal Article
Citation:: Revista Chilena de Cirugia, 2017, 69 (5), pp. 359 - 364
Issue Date:: 2017-09-01

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Field	Value	Language
dc.contributor.author	Rolle, A	en_US
dc.contributor.author	Vargas, C	en_US
dc.contributor.author	Paredes, S	en_US
dc.contributor.author	López, R	en_US
dc.date.issued	2017-09-01	en_US
dc.identifier.citation	Revista Chilena de Cirugia, 2017, 69 (5), pp. 359 - 364	en_US
dc.identifier.issn	0379-3893	en_US
dc.identifier.uri	http://hdl.handle.net/10453/124039
dc.description.abstract	© 2017 Sociedad de Cirujanos de Chile Objective To evaluate competence related alterations, in patients between 18 and 65 years old, scheduled to surgery in the Hospital Clínico UC-Christus. Alteration of cognitive skills associated to patients competence were observed in the preoperatory service, and in the surgical theatre. The underlying hypothesis was than the skills related to decision making fluctuates in the previous moments to a surgical intervention. Material and methods Observational study. A total of 85 patients were evaluated, 44 in the preoperatory room and 41 in the surgical theatre, using the Montreal Cognitive Asessment Tool (MoCA). Results There were no differences between evaluations in the preoperatory room and the surgical theatre (P=.19). Neither were differences between the percentage of patients who achieved less than 26 points (the cutoff of the test) in both evaluated places (30 vs. 26%, P=.61). Discussion Other associated variables, such as age and educational level, could be related to competence related alterations in patients. The patient evaluation moment does not influences the results of the MoCA test. Conclusions It is not possible to conclude than there are no differences in the patients ability to consent, evaluated by the MoCA tool, in the moments prior to a surgical intervention.	en_US
dc.relation.ispartof	Revista Chilena de Cirugia	en_US
dc.relation.isbasedon	10.1016/j.rchic.2017.03.008	en_US
dc.title	Assessment of mental competency of patients, before surgery	en_US
dc.type	Journal Article
utslib.citation.volume	5	en_US
utslib.citation.volume	69	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1117 Public Health and Health Services	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Business
utslib.copyright.status	open_access
pubs.declined	2018-05-03T13:04:03.815+1000
pubs.issue	5	en_US
pubs.publication-status	Published	en_US
pubs.volume	69	en_US

Abstract:

© 2017 Sociedad de Cirujanos de Chile Objective To evaluate competence related alterations, in patients between 18 and 65 years old, scheduled to surgery in the Hospital Clínico UC-Christus. Alteration of cognitive skills associated to patients competence were observed in the preoperatory service, and in the surgical theatre. The underlying hypothesis was than the skills related to decision making fluctuates in the previous moments to a surgical intervention. Material and methods Observational study. A total of 85 patients were evaluated, 44 in the preoperatory room and 41 in the surgical theatre, using the Montreal Cognitive Asessment Tool (MoCA). Results There were no differences between evaluations in the preoperatory room and the surgical theatre (P=.19). Neither were differences between the percentage of patients who achieved less than 26 points (the cutoff of the test) in both evaluated places (30 vs. 26%, P=.61). Discussion Other associated variables, such as age and educational level, could be related to competence related alterations in patients. The patient evaluation moment does not influences the results of the MoCA test. Conclusions It is not possible to conclude than there are no differences in the patients ability to consent, evaluated by the MoCA tool, in the moments prior to a surgical intervention.

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http://hdl.handle.net/10453/124039