ArticleBMC geriatrics2018
The effects of pre-existing dementia on surgical outcomes in emergent and nonemergent general surgical procedures: assessing differences in surgical risk with dementia.
Article in BMC geriatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
41 citing papers in PubMed, 1 synthesis or guideline pooled it, 78 citations in OpenAlex.
- Effects of an abnormal mini-mental state examination score on postoperative outcomes in geriatric surgical patients: a meta-analysis.BMC anesthesiology · 2019Pooled it
- Understanding Risks in the Care of People With Dementia in Acute Hospital Settings: Definitions, Types and Management Strategies-A Scoping Review.Journal of clinical nursing · 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
- Decision making in chronic subdural haematoma patient referrals in an octogenarian and nonagenarian population - a multi-centre perspective.Irish journal of medical science · 2026Article
- Clinical outcomes following elective lumbar spine surgery in patients living with dementia.The spine journal : official journal of the North American Spine Society · 2026Article
- Patients With Dementia Undergoing High-Risk Inpatient Surgery Have Poor Outcomes.Journal of the American Geriatrics Society · 2025Article
- FDG PET of the brain to screen for neurodegenerative disease in older liver transplant candidates.European journal of nuclear medicine and molecular imaging · 2025Article
- Complications of gastrostomy tube placement in patients with dementia: a national inpatient analysis.Surgical endoscopy · 2025Article
- Preoperative dementia in patients undergoing coronary artery bypass grafting: A propensity-matched analysis.Surgery · 2025Article
- Medical decision-making experiences of persons with dementia and their carepartners: a qualitative study.BMC palliative care · 2025Article
- Developing and implementing a geriatric surgery co-management program for older adults: insights from document analysis.Surgery in geriatrics and frailty · 2025Article
- Colorectal Surgery Outcomes and Healthcare Burden for Medicare Beneficiaries With Dementia.The Journal of surgical research · 2025Article
- National outcomes for dementia patients undergoing cardiac surgery in a pre-structural era.Journal of cardiothoracic surgery · 2024Article
- Feeble, fallen, and forgetting: association of cognitive impairment and falls on outcomes of major intra-abdominal surgeries in older adults.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2024Article
- The impact of geriatric-specific variables on long-term outcomes in patients with hepatopancreatobiliary and colorectal cancer selected for resection.European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology · 2024Observational
- Factors Associated with Costly Hospital Care among Patients with Dementia and Acute Respiratory Failure.Annals of the American Thoracic Society · 2024Article
- The impact of chronic obstructive pulmonary disease on surgical outcomes after surgery for an acute abdominal diagnosis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Development and validation of a point-of-care clinical risk score to predict surgical site complication-associated readmissions following open spine surgery.Journal of spine surgery (Hong Kong) · 2024Article
- Development and validation of a risk prediction model for severe postoperative complications in elderly patients with hip fracture.PloS one · 2024Article
- Association of dementia with clinical and financial outcomes following lobectomy for lung cancer.JTCVS open · 2023Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim was to assess the morbidity and in-hospital mortality that occur in surgical patients with pre-existing dementia compared with those outcomes in non-dementia patients following emergent and nonemergent general surgical operations.
methodsA total of 120 patients with dementia were matched for sex and type of surgery with 120 patients who did not have dementia, taken from a cohort of 15,295 patients undergoing surgery, in order to assess differences in surgical risk with dementia. Patient information was examined, including sex, body mass index (BMI), prevalence of individual comorbidities at admission, and several other variables that may be associated with postoperative outcomes as potential confounders.
resultsPatients with dementia tended to have a higher overall complication burden compared to those without. This was evidenced by a higher average number of complications per patient (3.30 vs 2.36) and a higher average score on the comprehensive complication index (48.61 vs 37.60), values that were statistically significant for a difference between the two groups. The overall in-hospital mortality in patients with dementia was 28.3% (34 deaths out of 120 patients). During the same period, at our hospital, the overall in-hospital mortality in the control group was 20% (24 deaths out of 120 patients). Patient groups with and without dementia each had 3 and 5 associated risk factors for morbidity and 9 and 12 risk factors for mortality, respectively.
conclusionsPatients with pre-existing dementia have a greater than average risk of early death after surgery, and their incidence of fatal complications is higher than that of surgical patients without dementia.
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