ArticleWorld journal of surgery2012
Postoperative adverse outcomes in surgical patients with dementia: a retrospective cohort study.
Article in World journal of surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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Who cites it
32 citing papers in PubMed, 104 citations in OpenAlex.
- Impact of pre-operative dementia or cognitive impairment on outcomes after elective primary total shoulder arthroplasty.Journal of shoulder and elbow arthroplasty · 2026Article
- Racial and Sex Differences in Postoperative Mortality Between Patients With Versus Without Dementia.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026Article
- Practice, Policy, and Research Recommendations to Improve Decision-Making about Surgery for People Living with Dementia: A Delphi Panel Consensus.Annals of surgery · 2026Article
- Effects of Dementia on Adverse Outcomes in Geriatric Patients Undergoing Elective Total Hip Arthroplasty: Analysis of the US Nationwide Inpatient Sample.Geriatric orthopaedic surgery & rehabilitation · 2026Article
- Preoperative dementia in patients undergoing coronary artery bypass grafting: A propensity-matched analysis.Surgery · 2025Article
- Planning intensive care unit admission after elective major abdominal surgery: good clinical practice document by SIAARTI-SIC-ANIARTI.Journal of anesthesia, analgesia and critical care · 2025Review
- National outcomes for dementia patients undergoing cardiac surgery in a pre-structural era.Journal of cardiothoracic surgery · 2024Article
- Total shoulder arthroplasty in patients with dementia or mild cognitive impairment.JSES international · 2024Article
- Association of neurocognitive disorders with morbidity and mortality in older adults undergoing major surgery in the USA: a retrospective, population-based, cohort study.The lancet. Healthy longevity · 2023Article
- Impact of Dementia on Incidence and Severity of Postoperative Pulmonary Complications Following Hip Fracture Surgery Among Older Patients.Clinical nursing research · 2023Observational
- Accountable care organizations and use of surgery among patients with Alzheimer disease and related dementias.The American journal of managed care · 2023Article
- Electronic Health Record Usability and Postsurgical Outcomes Among Older Adults With Dementia.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2023Article
- Item distribution, scalability and internal consistency of the QUALIDEM quality of life assessment for patients with dementia in acute hospital settings.Health and quality of life outcomes · 2023Article
- Aortic valve replacement among patients with Alzheimer's disease and related dementias.Journal of the American Geriatrics Society · 2021Article
- ["Memory acute"-treatment concept for inpatient remobilization of acutely ill patients with dementia].Zeitschrift fur Gerontologie und Geriatrie · 2020Article
- Article
- Dementia in elderly patients undergoing early cholecystectomy for acute cholecystitis: a retrospective observational study.BMC surgery · 2019Observational
- The effects of pre-existing dementia on surgical outcomes in emergent and nonemergent general surgical procedures: assessing differences in surgical risk with dementia.BMC geriatrics · 2018Article
- Surgical outcomes for patients diagnosed with dementia: A coarsened exact matching study.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2018Article
- Lower Postsurgical Mortality for Individuals with Dementia with Better-Educated Hospital Workforce.Journal of the American Geriatrics Society · 2018Article
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDementia patients often present with coexisting medical conditions and potentially face higher risk of complications during hospitalization. Because the general features of postoperative adverse outcomes among surgical patients with dementia are unknown, we conducted a nationwide, retrospective cohort study to characterize surgical complications among dementia patients compared with sex- and age-matched nondementia controls.
methodsReimbursement claims from the Taiwan National Health Insurance Research Database were studied. A total of 18,923 surgical patients were enrolled with preoperative diagnosis of dementia for 207,693 persons aged 60 years or older who received inpatient major surgeries between 2004 and 2007. Their preoperative comorbidities were adjusted and risks for major surgical complications were analyzed.
resultsDementia patients who underwent surgery had a significantly higher overall postoperative complication rate, adjusted odds ratio (OR) 1.79 (95 % confidence interval [CI] 1.72-1.86), with higher medical resources use, and in-hospital expenditures. Compared with controls, dementia patients had a higher incidence of certain postoperative complications that are less likely to be identified in their initial stage, such as: acute renal failure, OR = 1.32 (1.19-1.47); pneumonia, OR = 2.18 (2.06-2.31); septicemia, OR = 1.8 (1.69-1.92); stroke, OR = 1.51 (1.43-1.6); and urinary tract infection, OR = 1.62 (1.5-1.74).
conclusionsThese findings have specific implications for postoperative care of dementia patients regarding complications that are difficult to diagnose in their initial stages. Acute renal failure, pneumonia, septicemia, stroke, and urinary tract infection are the top priorities for prevention, early recognition, and intervention of postoperative complications among surgical patients with dementia. Further efforts are needed to determine specific protocols for health care teams serving this population.
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