Perioperative medicine & outcomes
A Prospective Observational Cohort Study of Language Preference and Preoperative Cognitive Screening in Older Adults: Do Language Disparities Exist in Cognitive Screening and Does the Association Between Test Results and Postoperative Delirium Differ Based on Language Preference?
Main finding · Preoperative cognitive screeningResult — go to the resultodds 5.6 95% CI 4.6–7.0Authors' conclusion
We observed a disparity in the rates LOE patients were cognitively screened before surgery, despite the Mini-Cog being associated with POD in both English-speaking and LOE patients.
Study context
- Population
- Patients ≥65 years scheduled for surgery and evaluated in the preoperative clinic1,956 screened
- Participants
- 2,446 patients
- Exposure
- English-speaking vs language other than English preference
- Outcome
- Rate of preoperative cognitive screening (Mini-Cog) under a routine institutional program
Methodological detailssingle-centre
- Single-centre
Main finding
Preoperative cognitive screening
odds
5.6
95% CI 4.6–7.0
P < 0.001
By group
As reported in the abstract
Observational data: associations, not effects.
Further findings
| Outcome | Odds (95% CI) | P value |
|---|---|---|
| POD, positive (score ≤2) vs negative Mini-Cog, English-speaking | 3.5 (2.6–4.8) | P < 0.001 |
| POD, positive (score ≤2) vs negative Mini-Cog, LOE | 3.9 (2.1–7.3) | P < 0.001 |
Difference between the 2 ORs (English-speaking vs LOE)
- Difference between these 2 ORs not significant
- P = 0.753
Original publication
A Prospective Observational Cohort Study of Language Preference and Preoperative Cognitive Screening in Older Adults: Do Language Disparities Exist in Cognitive Screening and Does the Association Between Test Results and Postoperative Delirium Differ Based on Language Preference? Anesth Analg. Published 7 February 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →