The Influence of Cognitive Impairment on Postoperative Outcomes

The Influence of Cognitive Impairment on Postoperative Outcomes

To examine differences in rates of elective surgery, postoperative mortality, and readmission by pre-existing cognitive status among Medicare beneficiaries undergoing surgery. MCI is common among older adults, but the impact of MCI on surgical outcomes is understudied. We conducted a retrospective c...

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Veröffentlicht in:Annals of surgery 2023-01, Vol.277 (1), p.e212-e217
Hauptverfasser: Blair, Emilie M, Levine, Deborah A, Hu, Hsou Mei, Langa, Kenneth M, Kabeto, Mohammed U, Waljee, Jennifer
Format: Artikel
Sprache:eng
Schlagworte:
Aged
Cognition
Cognitive Dysfunction - psychology
Dementia
Humans
Medicare
Retrospective Studies
United States
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Zusammenfassung:To examine differences in rates of elective surgery, postoperative mortality, and readmission by pre-existing cognitive status among Medicare beneficiaries undergoing surgery. MCI is common among older adults, but the impact of MCI on surgical outcomes is understudied. We conducted a retrospective cohort study of individuals ≥65 who underwent surgery between 2001 and 2015 using data from the nationally-representative Health and Retirement Study linked with Medicare claims. Cognitive status was assessed by the modified telephone interview for cognitive status score and categorized as normal cognition (score: 12-27), MCI (7-11), and dementia (
ISSN:0003-4932
1528-1140
1528-1140
DOI:10.1097/SLA.0000000000004799