Perioperative medicine & outcomes

Perioperative polygenic and apolipoprotein E (APOE)-based genetic risk assessment for neurocognitive disorders: a biobank study

Br J AnaesthPublished Retrospective cohort study

Authors' conclusion

APOE genotypes and polygenic risk scores are valuable for exploring neurocognitive genetic risk profiles in surgical populations

Study context

Population
Male and female surgical patients aged 40–89 yr without previous Alzheimer's disease diagnosis, Mass General Brigham Biobank86% European ancestry
Participants
33,526 participants
Exposure
APOE-ε4 carriers and Alzheimer's disease polygenic risk score vs neurocognitive disorders
Outcome
Neurocognitive disorders
Methodological detailsbiobank
  • Biobank

Main finding

As reported in the abstract

Odds ratio (95% CI)P value
Polygenic risk score for Alzheimer's diseaseAlzheimer's disease; European ancestry
2.25(1.64–3.09)
FDR <0.001
APOE-ε4delirium
1.32(1.19–1.47)
FDR <0.001
APOE-ε4mild cognitive impairment
1.70(1.49–1.94)
FDR <0.001
APOE-ε4Alzheimer's disease
3.42(2.72–4.29)
FDR <0.001

Observational data: associations, not effects.

Original publication

Perioperative polygenic and APOE-based genetic risk assessment for neurocognitive disorders: a biobank study. Br J Anaesth. Published 24 June 2025. doi:10.1016/j.bja.2025.05.014

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