Monk et al identified risk factors for cognitive dysfunction in a patient following major noncardiac surgery. These can help identify a patient who may benefit from nonsurgical management or who may require closer monitoring following surgery. The authors are from Duke University and the University of Florida.


Risk factors for cognitive dysfunction at 3 months following the surgery:

(1) age >= 60 years

(2) history of stroke without residual damage

(3) little education

(4) cognitive dysfunction at hospital discharge following the surgery


The presence of cognitive dysfunction at hospital discharge or at 3 months following surgery is associated with an increased risk of death in the first year following surgery.


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