Independent Association Between Preoperative Cognitive Status and Discharge Location After Surgery: A Strategy to Reduce Resource Use After Surgery for Deformity
Adogwa O, Elsamadicy AA, Sergesketter A, Vuong VD, Moreno J, Cheng J, Karikari IO, Bagley CA. Independent Association Between Preoperative Cognitive Status and Discharge Location After Surgery: A Strategy to Reduce Resource Use After Surgery for Deformity. World Neurosurgery 2017, 110: e67-e72. PMID: 29081391, DOI: 10.1016/j.wneu.2017.10.081.Peer-Reviewed Original ResearchConceptsNormal cognitive statusCognitive impairmentCognitive statusOlder patientsSLUMS scorePreoperative cognitive impairmentElective spinal surgeryPreoperative cognitive statusStandard deviation ageAdult degenerative scoliosisBaseline cognitive impairmentSevere cognitive impairmentMental status testsMild cognitive impairmentPostoperative lengthPreoperative scoresDeviation ageGeriatric patientsDegenerative scoliosisIndependent associationSpinal surgeryDeformity correctionPatientsSurgeryCognitive screeningThe prevalence of undiagnosed pre-surgical cognitive impairment and its post-surgical clinical impact in elderly patients undergoing surgery for adult spinal deformity
Adogwa O, Elsamadicy AA, Lydon E, Vuong VD, Cheng J, Karikari IO, Bagley CA. The prevalence of undiagnosed pre-surgical cognitive impairment and its post-surgical clinical impact in elderly patients undergoing surgery for adult spinal deformity. Journal Of Spine Surgery 2017, 3: 358-363. PMID: 29057343, PMCID: PMC5637212, DOI: 10.21037/jss.2017.07.01.Peer-Reviewed Original ResearchElderly patientsAdult degenerative scoliosisCognitive impairmentDischarge institutionalizationHospital stayReadmission ratesDegenerative scoliosisSLUMS scorePoor post-operative outcomesPre-existing cognitive impairmentElective spine surgeryMore postoperative complicationsElective spinal surgeryPost-operative deliriumHospital readmission ratesPost-operative outcomesPre-operative evaluationAdult spinal deformityBaseline cognitive impairmentSevere cognitive impairmentMental status testsNeuro-cognitive impairmentHigh rateMild cognitive impairmentPreoperative cognition