Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-22T18:59:41.327Z Has data issue: false hasContentIssue false

Effect of Elective Surgery Under General Anesthesia on Mental Status Variables in Elderly Women and Men: 10-Month Follow-Up

Published online by Cambridge University Press:  07 January 2005

Marion Zucker Goldstein
Affiliation:
Department of Psychiatry and Internal Medicine, School of Medicine and Biomedical Sciences, New York, U.S.A. Erie County Medical Center, Buffalo, New York, U.S.A.
Barry Steven Fogel
Affiliation:
Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island, U.S.A.
Bruce Leonard Young
Affiliation:
Department of Psychology, State University of New York at Buffalo, New York, U.S.A.
Get access

Abstract

Mental status changes were assessed and compared in 172 general surgical and orthopedic patients and 190 nonsurgical patients, all aged 55 and over, during a 10-month period. Assessments included a structured psychosocial questionnaire and standardized tests of cognition, affect, and function. The relationship of surgery, type of surgery, age, gender, and postoperative delirium to long-term postoperative decline was evaluated. Analyses of variance directly tested main effects pertaining to each of the five hypotheses and interactions of surgery with background variables. Hierarchical multiple regression analyses assessed the unique contributions of demographic and surgical variables to cognitive, affective, and functional change. None of the independent variables tested made a significant contribution to changes from baseline to long-term follow-up. The findings may be due to the physical and psychological health of this sample, and replication of this work in more impaired populations may be productive.

Type
Clinical Practice and Service Development
Copyright
© 1996 International Psychogeriatric Association

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)