Prevalence and Multivariable Factors Associated With Preoperative Cognitive Impairment in Outpatient Surgery in the United States.

TitlePrevalence and Multivariable Factors Associated With Preoperative Cognitive Impairment in Outpatient Surgery in the United States.
Publication TypeJournal Article
Year of Publication2019
AuthorsGaulton, TG, Eckenhoff, RG, Neuman, MD
JournalAnesth Analg
Volume129
Issue1
Paginatione5-e7
Date Published2019 07
ISSN Number1526-7598
KeywordsAged, Aged, 80 and over, Ambulatory Surgical Procedures, Cognition, Cognitive Dysfunction, Female, Humans, Male, Mental Health, Prevalence, Risk Assessment, Risk Factors, United States
Abstract

Preoperative cognitive impairment increases the risk of adverse events after surgery but its prevalence in outpatient surgery has not been defined. We aimed to determine the prevalence and multivariable factors associated with cognitive impairment in individuals who present for outpatient surgery. We used data from the Health and Retirement Study, a longitudinal panel survey of older Americans. Of 1836 participants who reported having outpatient surgery, we found that 16.1% had evidence of cognitive impairment. Significant multivariable factors associated with preoperative cognitive impairment included non-Hispanic African American race, prior stroke, preoperative functional dependence, and lower socioeconomic status and education level.

DOI10.1213/ANE.0000000000004035
User Guide Notes

http://www.ncbi.nlm.nih.gov/pubmed/31210651?dopt=Abstract

Alternate JournalAnesth. Analg.
Citation Key10122
PubMed ID31210651