Open AccessPrevalence and Multivariable Factors Associated With Preoperative Cognitive Impairment in Outpatient Surgery in the United States
Author(s) -
Timothy G. Gaulton,
Roderic Eckenhoff,
Mark D. Neuman
Publication year - 2019
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.404
H-Index - 201
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/ane.0000000000004035
Subject(s) - medicine , socioeconomic status , outpatient surgery , cognition , cognitive impairment , stroke (engine) , outpatient clinic , health and retirement study , gerontology , physical therapy , surgery , psychiatry , ambulatory , environmental health , population , mechanical engineering , engineering
Preoperative cognitive impairment increases the risk of adverse events after surgery but its prevalence in outpatient surgery has not been defined. We aimed to determine the prevalence and multivariable factors associated with cognitive impairment in individuals who present for outpatient surgery. We used data from the Health and Retirement Study, a longitudinal panel survey of older Americans. Of 1836 participants who reported having outpatient surgery, we found that 16.1% had evidence of cognitive impairment. Significant multivariable factors associated with preoperative cognitive impairment included non-Hispanic African American race, prior stroke, preoperative functional dependence, and lower socioeconomic status and education level.