ICU sedation, delirium & recovery
Brain Health Screening in Older Surgical Patients: A Multicenter, Retrospective, Observational Analysis and Survey
Authors' conclusion
This study identified minimal data collection related to neurocognitive disorders which appears incongruous with clinical practice guidelines.
Study context
- Population
- Patients over the age of 65 undergoing nonemergent inpatient surgery (Multicenter Perioperative Outcomes Group (MPOG) database); MPOG participant sites (49 institutions)
- Participants
- 908,158 patient records
- Outcome
- Rate of retrievable geriatric screening variables (cognitive impairment, frailty, delirium) in the MPOG database
Methodological detailsmulticentre, 2-component study
- Multicentre
- 2-component study
Main finding
As reported in the abstract
Retrievable geriatric screening variables in MPOG database
Preoperative cognitive screen
8054
0.89%
Postoperative delirium screening
123,114
13.6%
Frailty screenings
0
Observational data: associations, not effects.
Further findings
Survey of MPOG sites: institutional screening practices
- Survey responses received
- Forty-3
- Response rate
- 88%
- Institutions performing cognitive screening
- n=22; 51.2%
- Institutions performing frailty screening
- n=17; 44.7%
- Institutions performing delirium screening
- n = 16; 45.7%
- Institutions performing all 3 screenings
- 10 institutions (23.2%)
- Institutions performing none
- 13 (30.2%)
- Most common significant barrier: lack of available standard screening tools for the electronic health record
Original publication
Brain Health Screening in Older Surgical Patients: A Multicenter, Retrospective, Observational Analysis and Survey. Anesth Analg. Published 16 May 2025. doi:10.
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