Preoperative Cognitive Impairment As a Predictor of Postoperative Outcomes in a Collaborative Care Model.

ABSTRACT: OBJECTIVES:To compare postoperative outcomes of individuals with and without cognitive impairment enrolled in the Perioperative Optimization of Senior Health (POSH) program at Duke University, a comanagement model involving surgery, anesthesia, and geriatrics. DESIGN:Retrospective analysis of individuals enrolled in a quality improvement program. SETTING:Tertiary academic center. PARTICIPANTS:Older adults undergoing surgery and referred to POSH (N = 157). MEASUREMENTS:Cognitive impairment was defined as a score less than 25 out of 30 (adjusted for education) on the St. Louis University Mental Status (SLUMS) Examination. Median length of stay (LOS), mean number of postoperative complications, rates of postoperative delirium (POD, %), 30-day readmissions (%), and discharge to home (%) were c

SUBMITTER: Zietlow K 

PROVIDER: S-EPMC5849502 | biostudies-literature | 2018 Mar

REPOSITORIES: biostudies-literature