Feasibility and Rationale for Incorporating Frailty and Cognitive Screening Protocols in a Preoperative Anesthesia Clinic.

ABSTRACT:

Background

Advanced age, frailty, low education level, and impaired cognition are generally reported to be associated with postoperative cognitive complications. To translate research findings into hospital-wide preoperative assessment clinical practice, we examined the feasibility of implementing a preoperative frailty and cognitive assessment for all older adults electing surgical procedures in a tertiary medical center. We examined associations among age, education, frailty, and comorbidity with the clock and 3-word memory scores, estimated the prevalence of mild to major cognitive impairment in the presurgical sample, and examined factors related to hospital length of stay.

Methods

Medical staff screened adults ≥65 years of age for frailty, general cognition (via the clo

SUBMITTER: Amini S 

PROVIDER: S-EPMC6927245 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature