Evidence map›Paper›PMID 42416510›Full record

ArticleJournal of anesthesia and translational medicine2026

Remote assessment of instrumental activities of daily living and cognitive impairment in older surgical patients.

Yu Tong Lu, Aparna Saripella, Ellene Yan, Paras Kapoor, Yasmin Alhamdah, Nina Butris, Islam Sazzdual, Leif Erik Lovblom, Jean Wong, Frances Chung

Abstract read
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In one paragraph

Article in Journal of anesthesia and translational medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Yu Tong LuTemerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 3K3, Canada.
Aparna SaripellaDepartment of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, ON M5T 2S8, Canada.
Ellene YanTemerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 3K3, Canada.
Paras KapoorTemerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 3K3, Canada.
Yasmin AlhamdahTemerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 3K3, Canada.
Nina ButrisTemerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 3K3, Canada.
Islam SazzdualDepartment of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, ON M5T 2S8, Canada.
Leif Erik LovblomBiostatistics Department, University Health Network, Toronto, ON M5G 1×6, Canada.
Jean WongTemerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 3K3, Canada.
Frances ChungTemerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 3K3, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: We aimed to investigate the prevalence of instrumental activities of daily living (IADL) dependence in older surgical patients, its association with cognitive impairment, and risk factors associated with postoperative IADL dependence. Methods: In this multicenter prospective study, 307 older adults aged ≥ 65 years undergoing non-cardiac surgery were evaluated for IADL dependence pre- and postoperatively at 30, 90 and 180 days. Changes in IADL scores over time were analyzed using a linear mixed-effects model stratified by preoperative IADL status. The association between IADL and cognition was examined by stratification of cognitive status. Preoperative risk factors of IADL dependence at 30 and 180 days were explored using multivariable logistic regression models. Results: Preoperatively, 38% of patients were IADL dependent. Among preoperatively IADL dependent patients, we observed a decline in IADL at 30 days, with subsequent recovery to baseline by 90 days. Those who were IADL independent showed no change in their IADL scores. Regardless of baseline cognitive status, postoperative IADL trajectories were similar, with cognitively impaired and non-cognitively impaired patients exhibiting a temporary decline at 30 days, with recovery by 90 days. Orthopedic surgery and preoperative cognitive impairment were associated with higher adjusted odds of 30-day IADL dependence (aOR 2.81, 95% CI [1.33-6.39]; aOR 5.31, 95% CI [1.56-25.0], respectively), whereas older age and preoperative frailty were associated with long-term IADL dependence at 180 days (aOR 1.57, 95% CI [1.14, 2.18]; aOR 2.83, 95% CI [1.01-8.05], respectively). Conclusions: Older adults with preoperative IADL dependence experienced transient postoperative decline with recovery by 90 days, whereas independent patients maintained function. Preoperative IADL assessment may help identify patients at risk and guide postoperative care planning.

Indexed as

Ascertain Dementia Eight-item questionnaireCognitive impairmentInstrumental activities of daily livingOlder adultsPostoperative outcomes

Identifiers

PMID42416510
PMCPMC13338947

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.