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Feeble, fallen, and forgetting: association of cognitive impairment and falls on outcomes of major intra-abdominal surgeries in older adults
Journal article   Peer reviewed

Feeble, fallen, and forgetting: association of cognitive impairment and falls on outcomes of major intra-abdominal surgeries in older adults

Faisal S. Jehan, Qaider Alizai, Mary T. Powers, Mohammad Khreiss, Bellal Joseph and Hassan Aziz
Journal of gastrointestinal surgery, Vol.28(9), pp.1505-1511
09/2024
DOI: 10.1016/j.gassur.2024.06.023
PMCID: PMC11841860
PMID: 38964533

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Abstract

Both cognitive impairment/dementia (CID) and falls occur more commonly in older adults than in younger patients. This study aimed to analyze the association of a history of CID or falls with the postoperative outcomes of older adults undergoing major intra-abdominal surgeries on a national level. We retrospectively analyzed the American College of Surgeons–National Surgical Quality Improvement Program 2022 Participant Use Data File. Our primary outcome was postoperative mortality. Statistical analysis was performed using the Chi-square test and multivariate regression analysis. On multivariable regression analyses, a history of both CID (odds ratio [OR] = 1.9; CI: 1.5–2.5; P < .01) and a fall (OR = 1.8; CI: 1.4–2.3; P < .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. A history of CID or falls in older adults before major intra-abdominal surgeries was 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.
 Dementia Abdominal surgery Falls National Surgical Quality Improvement Program Outcomes

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