AI Article Synopsis
- * Researchers analyzed data from 5,926 patients, finding that 4.8% had ADRD and were more likely to undergo emergency surgeries and be discharged to specialized facilities.
- * After adjusting for variables, ADRD patients had higher rates of complications (61.1% vs 48.3%) and longer hospital stays (average of 7.1 days compared to 6.1 days).
Article Abstract
Background: Alzheimer's Disease and Related Dementias (ADRD) may result in poor surgical outcomes. The current study aims to characterize the risk of ADRD on outcomes for patients undergoing colorectal surgery.
Methods: Colorectal surgery patients with and without ADRD from 2007 to 2017 were identified using electronic health record-linked Medicare claims data from two large health systems. Unadjusted and adjusted analyses were performed to evaluate postoperative outcomes.
Results: 5926 patients (median age 74) underwent colorectal surgery of whom 4.8% (n = 285) had ADRD. ADRD patients were more likely to undergo emergent operations (27.7% vs. 13.6%, p < 0.001) and be discharged to a facility (49.8% vs 28.9%, p < 0.001). After multi-variable adjustment, ADRD patients were more likely to have complications (61.1% vs 48.3%, p < 0.001) and required longer hospitalization (7.1 vs 6.1 days, p = 0.001).
Conclusions: The diagnosis of ADRD is an independent risk factor for prolonged hospitalization and postoperative complications after colorectal surgery.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10330079 | PMC |
| http://dx.doi.org/10.1016/j.amjsurg.2023.03.012 | DOI Listing |
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