Preoperative cognitive performance and its association with postoperative complications in vascular surgery patients: A prospective study.

IF 2.7 3区医学 Q1 SURGERY American journal of surgery Pub Date : 2025-01-01 Epub Date: 2024-05-28 DOI:10.1016/j.amjsurg.2024.115784

Dagmar Goodijk, Louise B D Banning, Charlotte A Te Velde-Keyzer, Barbara C van Munster, Stephan J L Bakker, Barbara L van Leeuwen, Clark J Zeebregts, Robert A Pol

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Abstract

Background: Cognitive impairment affects nearly half of vascular surgery patients, but its association with postoperative outcomes remains poorly understood. This study explores the link between preoperative cognitive performance and postoperative complications, including postoperative delirium, in vascular surgery patients.

Methods: A prospective cohort study was conducted on vascular surgery patients aged ≥65. Preoperative cognitive performance was assessed using the Montreal Cognitive Assessment, and postoperative complications were evaluated using the Comprehensive Complication Index. The association was analyzed through multivariable logistic regression.

Results: Among 110 patients (18.2 % female, mean age 73.8 ± 5.7 years), cognitive impairment was evident in 48.2 %. Of the participants, 29 (26.3 %) experienced postoperative complications, among which 11 (10 %) experienced postoperative delirium. The adjusted odds ratio for the association between cognitive performance and postoperative complications was 1.19 (95 % CI 1.02-1.38; p = 0.02).

Conclusion: Worse preoperative cognitive performance correlated with increased odds of postoperative complications and postoperative delirium in vascular surgery patients.

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血管外科手术患者术前认知能力及其与术后并发症的关系：前瞻性研究

背景：近一半的血管外科手术患者会出现认知障碍，但人们对认知障碍与术后结果的关系仍知之甚少。本研究探讨了血管外科手术患者术前认知能力与术后并发症（包括术后谵妄）之间的联系：方法：对年龄≥65 岁的血管外科患者进行了一项前瞻性队列研究。术前认知能力采用蒙特利尔认知评估进行评估，术后并发症采用综合并发症指数进行评估。相关性通过多变量逻辑回归进行分析：在 110 名患者中（18.2% 为女性，平均年龄为 73.8 ± 5.7 岁），48.2% 存在明显的认知障碍。其中 29 人（26.3%）出现术后并发症，11 人（10%）出现术后谵妄。认知能力与术后并发症之间的调整赔率为 1.19 (95 % CI 1.02-1.38; p = 0.02)：结论：较差的术前认知能力与血管外科手术患者术后并发症和术后谵妄的几率增加有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.