@article{ref1,
title="Feeble, fallen, and forgetting: association of cognitive impairment and falls on outcomes of major intraabdominal surgeries in older adults",
journal="Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract",
year="2024",
author="Jehan, Faisal S. and Powers, Mary T. and Alizai, Qaider and Khreiss, Mohammad and Joseph, Bellal and Aziz, Hassan",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="INTRODUCTION: Both cognitive impairment/dementia (CID) and falls occur more commonly in older adults compared to younger patients. This study aims to analyze the association of a history of CID or falls with the postoperative outcomes of older adults undergoing major intraabdominal surgeries on a national level. <br><br>METHODS: We retrospectively analyzed the American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP) 2022 Participant Use Data File. Our primary outcome was postoperative mortality. Statistical analysis was performed using Chi-square test, and multivariate regression analysis. <br><br>RESULTS: On multivariable regression analyses, both a history of CID (OR: 1.9; CI: 1.5-2.5; p <0.01) and a fall (OR: 1.8, CI: 1.4 -2.3; p <0.01) were independently associated with higher adjusted odds of mortality. History of CID or falls was also a predictor of overall complications, major complications, and discharge to a care facility. <br><br>CONCLUSION: A history of CID or falls in older adults prior to major intraabdominal surgeries is associated with a high risk of postoperative mortality and morbidity. Further studies are required to establish the causal relation of these factors and the steps to mitigate the risk of associated adverse outcomes.<p /> <p>Language: en</p>",
language="en",
issn="1091-255X",
doi="10.1016/j.gassur.2024.06.023",
url="http://dx.doi.org/10.1016/j.gassur.2024.06.023"
}