Perioperative medicine & outcomes
Cognitive prehabilitation in surgical patients: a scoping review
Authors' conclusion
Cognitive prehabilitation trials consistently evaluate multidomain, computerised brain training, and, with high adherence, efficacy is evident.
Study context
- Population
- Adults undergoing surgery enrolled in RCTs of cognitive prehabilitation
- Participants
- 833 adults · 8 trials
- Comparison
- Cognitive prehabilitation
Methodological detailsregistered protocol, peer-reviewed search strategy, duplicate, independent review, narrative synthesis, MEDLINE, Embase, CINAHL, PsycINFO, Web of Science and Cochrane CENTRAL searched from inception to 04/2025
- Registered protocol
- Peer-reviewed search strategy
- Duplicate, independent review
- Narrative synthesis
- MEDLINE, Embase, CINAHL, PsycINFO, Web of Science and Cochrane CENTRAL searched from inception to 04/2025
Primary result
As reported in the abstract
Delirium and postoperative neurocognitive disorders (trials with high adherence)
Significant reduction in delirium in two trials with high adherence (absolute risk reduction)
9.8%-15.9%
Significant reduction in postoperative neurocognitive disorders in two trials with high adherence (absolute risk reduction)
20.2%-36.8%
Original publication
Cognitive prehabilitation in surgical patients: a scoping review. Br J Anaesth. Published 11 July 2026. doi:10. 1016/ j. bja. 2026. 05. 016
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