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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
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Author Spotlight: Assessing Surgical Frailty with Point-of-Care Ultrasound of Quadriceps Muscles
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Patients With Dementia Undergoing High-Risk Inpatient Surgery Have Poor Outcomes.

Samir K Shah1, Lingwei Xiang2, Rachel R Adler2

  • 1Division of Vascular Surgery, University of Florida, Gainesville, Florida, USA.

Journal of the American Geriatrics Society
|September 16, 2025
PubMed
Summary
This summary is machine-generated.

Patients with dementia face significantly worse outcomes after high-risk surgery, including higher mortality and complication rates. These findings highlight the need for careful consideration in surgical decision-making for individuals with dementia.

Keywords:
Medicaredementiahigh‐risk surgery

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Area of Science:

  • Geriatric Surgery
  • Dementia Care
  • Health Outcomes Research

Background:

  • Surgery is frequently performed on patients with dementia.
  • Understanding surgical outcomes is crucial for informed decision-making in this population.

Purpose of the Study:

  • To compare patient and utilization outcomes after high-risk surgery between patients with and without dementia.

Main Methods:

  • Retrospective national cohort study of Medicare beneficiaries aged 66+ undergoing high-risk surgery.
  • Examined 30- and 90-day mortality, major complications, discharge disposition, end-of-life interventions, and skilled nursing facility (SNF) stays.
  • Utilized generalized estimating equations and competing risks analysis.

Main Results:

  • 14.5% of 859,570 high-risk surgery patients had dementia.
  • Patients with dementia had significantly higher 90-day mortality (22.8% vs. 9.3%), major complications (51.6% vs. 38.5%), and prolonged SNF stays (3.7% vs. 1.4%).
  • Dementia patients were more likely to be discharged to a higher level of care and receive feeding tubes.

Conclusions:

  • Individuals with dementia experience substantially worse outcomes following high-risk surgery compared to those without dementia.
  • These findings provide critical data for surgical decision-making processes for patients with dementia.