Infrastructure for postoperative brain health monitoring.
CogTrack establishes a pre-surgery cognitive baseline and tracks recovery at Day 7 and Day 30 — surfacing deviations early so clinicians can act, not assume.
A cognitive cliff that hospitals rarely see coming.
Postoperative cognitive dysfunction (POCD) is common after major surgery — yet most hospitals lack a structured way to detect early deviation from a patient's own baseline.
Source: ISPOCD studies · Lancet
Most cases are recognised after family or care teams notice functional change — far past the window for proactive intervention.
Why postoperative cognition deserves its own signal.
We track heart rate, oxygenation, pain — but the brain's recovery is inferred, not measured. CogTrack changes the resolution of post-op care.
Recovery is not just physical.
Cognition is rarely tracked alongside vitals, despite being a known marker of recovery quality.
Time matters.
Early deviation signals open a window for clinical review, medication adjustment, and family support.
Quality programs need data.
Perioperative teams want longitudinal signals — not one-off scores at discharge.
Risk is not uniform.
Age, education, and procedure type all shift baseline norms. A single threshold misses real change.
Two peer-reviewed signals. One unmistakable cost story.
Different studies measure different windows. Together, they show why early detection of cognitive deviation matters — clinically and financially.
In additional postacute care costs per patient within one year of surgery — covering rehabilitation, follow-up, and readmissions (not the index hospitalization).
In cumulative healthcare costs per patient over one year — this figure does include the index hospitalization, extended stays, and downstream utilization.
A note on scope. These figures measure different things and are complementary, not duplicative. $17,275 captures postacute care after discharge for neurocognitive disorders broadly. $44,291 is a cumulative one-year cost specific to postoperative delirium, inclusive of the surgical admission.
Today, hospitals fly blind on cognitive recovery.
Most perioperative pathways have no checkpoint for longitudinal cognition. Detection depends on observation, not measurement.
Status quo
No structured cognitive baseline captured.
GapAnaesthetic + procedural risk noted only in chart.
GapCognition assessed informally, if at all.
GapFamily-reported change → reactive workup.
GapA simple loop: baseline → follow-up → deviation.
Structured cognitive checkpoints across the perioperative window, compared against each patient's own baseline and age- and education-adjusted normative data.
Pre-op baseline
Patient self-registers and completes adaptive cognitive battery.
Day 7 check-in
Short follow-up surfaces early deviation against baseline.
Day 30 follow-up
Trajectory assessed against normative recovery curves.
Optional checks
Clinicians can schedule additional sessions when clinically indicated.
One view. Every patient's cognitive trajectory.
Select a patient to see baseline, follow-up scores, deviation, and z-score against normative data. Patients with pending consent stay locked.
Meets patients where they are.
Cognitive batteries adjust based on education and literacy — so the score reflects change, not test-taking ability.
Primary / no formal education
- Picture recognition
- Colour tap
- Odd one out
Non-text, intuitive visual tasks.
Mixed education
- Pattern memory
- Light logic
- Symbol sequencing
Balanced memory and reasoning workload.
Higher education
- Stroop interference
- Digit span
- Task switching
Advanced attentional control tasks.
Tap the colour, not the word.
A sample of how CogTrack measures attentional control under interference.
Doctors don't browse patients. Patients grant access.
Every clinician–patient connection is consented, auditable, and reversible. No bulk directory, no silent reads.
- PendingDr. MehtaRequested access to P-3104
- GrantedPatient R.K.Approved Dr. Ramos · P-2841
- LoggedDr. IyerViewed cognitive trajectory · P-2917
A category that should already exist.
CogTrack sits at the intersection of perioperative care, neuro-monitoring, and hospital quality programs — three converging budgets.
Pilot-first. SaaS-ready.
We focus on clinical validation today; commercial structure scales as evidence accumulates.
Pilot deployments
No payments. Focus on clinician workflow fit and longitudinal data quality.
- Free pilot integrations
- Co-designed protocols
- Shared reporting
Hospital SaaS
Licensing per surgical centre, with per-patient monitoring packages.
- Annual hospital license
- Per-patient monitoring packs
- Optional regional payments (UPI/Razorpay)
Start small. Prove signal. Scale evidence.
Pilots are structured to minimise clinician load while maximising the cleanliness of longitudinal data.
Identify pathway
Co-select a surgical pathway with elevated POCD risk.
Integrate softly
Patient self-registration. Minimal clinician workflow change.
Baseline + follow-up
Pre-op baseline; Day 7 and Day 30 check-ins.
Review together
Joint cohort review. Surface signal, refine norms.
Not a one-off cognitive screen. Infrastructure.
A longitudinal map of postoperative brain health.
We believe surgery should never end at discharge. CogTrack's long-term vision is to make cognitive recovery a measurable, comparable, improvable signal across hospitals.
Infrastructure for postoperative brain health monitoring.
CogTrack is a perioperative cognitive monitoring platform. It does not diagnose, treat, or claim prevention — it makes early deviation visible so clinical teams can decide what to do next.
Stats referenced: ISPOCD studies · Lancet · JAMA Network Open · JAMA Surgery.