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Table 3 Postoperative outcomes of patients with POCD (includes only those participants who could be administered the MoCA 1 week after surgery to establish their POCD status)

From: Postoperative cognitive dysfunction in older surgical patients associated with increased healthcare utilization: a prospective study from an upper-middle-income country

Variable

No POCD

(n = 148)

POCD

(n = 43)

P value

Barthel ADL Index at 3 months

94.60 ± 11.62

92.22 ± 13.27

0.29

Declined basic ADL n (%); Barthel reduced ≥ 5 points

30 (23.8%)

9 (25.0%)

0.88

Declined IADL, n (%); score reduced ≥ 2 points

30 (24.0%)

8 (22.2%)

0.83

IADL score at 3 months

6.43 ± 1.9

6.25 ± 1.9

0.60

Worsened quality of life at 3 months, n (%)

37 (28.9%)

9 (25.0%)

0.68

Health utility, score

0.89 ± 0.14

0.89 ± 0.20

0.80

Frailty at 3 months, (3–5), n (%)

11 (8.7%)

6 (16.7%)

0.22

Readmission at 3 months, n (%)

16 (10.8%)

6 (14.0%)

0.59

Mortality at 3 months, n (%)

3 (2.0%)

1 (2.3%)

1.00

Hospital LOS, days; median (min, max)

8 (2, 42)

11 (1,46)

0.01*

Total cost, USD; median (min, max)

5913.62 (332.43, 19 567.33)

8973.43 (3481.69, 11 763.74)

 < 0.001*

ICU LOS, days; median (min, max)

1 (0, 11)

2 (0, 14)

0.01*

Ventilator, days; median (min, max)

1 (0, 8)

1 (0, 3)

0.03*

  1. * Indicates statistical significance (< 0.05)
  2. POCD includes participants who had MoCA administered 1 week after surgery to establish their POCD status but did not include patients with POD
  3. Abbreviations ADL activities of daily living, FRAIL Fatigue, Resistance, Ambulation, Illnesses, and Loss of weight, IADL Lawton–Brody instrumental activities of daily living, ICU intensive care unit, LOS length of stay, POCD postoperative cognitive dysfunction, ventilator length of time on a ventilator