This trial aims to evaluate the feasibility, safety, and acceptability of a virtual reality (VR)-based cognitive stimulation game to reduce postoperative delirium among older surgical patients at high risk due to pre-existing cognitive impairment.
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Eligibility Criteria
Inclusion Criteria:
* Men and women ≥65 years of age
* Have a pre-existing diagnosis of cognitive impairment (Montreal Cognitive Assessment Score of 15-24)
* Elective or emergency major surgery with the expectation of admission to the Intensive Care Unit following the surgery for three days followi…
Inclusion Criteria:
* Men and women ≥65 years of age
* Have a pre-existing diagnosis of cognitive impairment (Montreal Cognitive Assessment Score of 15-24)
* Elective or emergency major surgery with the expectation of admission to the Intensive Care Unit following the surgery for three days following surgery
Exclusion Criteria:
* Pre-existing Intubation and invasive ventilation;
* history of severe mental illness;
* admission for a drug overdose;
* severe vertigo;
* history of severe postoperative nausea and vomiting;
* hearing and visual impairment;
* preexisting severe dementia (Montreal Cognitive Assessment Score \< 15; and
* active delirium at the time of screening for eligibility criteria.
* Active suicidal ideation or behavior Screen failure after surgery
* Prolonged intubation after surgery (more than 24 hours)
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