{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T22:33:06Z","timestamp":1793226786350,"version":"4.5.0"},"reference-count":25,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100003305","name":"ResMed Foundation","doi-asserted-by":"publisher","award":["G-575225462760"],"award-info":[{"award-number":["G-575225462760"]}],"id":[{"id":"10.13039\/100003305","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003579","name":"University of Toronto","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003579","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100019210","name":"University Health Network Foundation","doi-asserted-by":"publisher","award":["G-585005300860"],"award-info":[{"award-number":["G-585005300860"]}],"id":[{"id":"10.13039\/100019210","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bjanaesthesia.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["British Journal of Anaesthesia"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1016\/j.bja.2026.08.012","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T03:27:50Z","timestamp":1790220470000},"page":"1336-1340","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Onslaught of the silver tsunami: cognitive impairment and frailty in older patients undergoing surgery"],"prefix":"10.1016","volume":"137","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-8615-3478","authenticated-orcid":false,"given":"Eric","family":"Cheuk","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9576-3606","authenticated-orcid":false,"given":"Frances","family":"Chung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.bja.2026.08.012_bib1","doi-asserted-by":"crossref","first-page":"1012","DOI":"10.1002\/bjs.11148","article-title":"Age of patients undergoing surgery","volume":"106","author":"Fowler","year":"2019","journal-title":"Br J Surg"},{"key":"10.1016\/j.bja.2026.08.012_bib2","doi-asserted-by":"crossref","DOI":"10.1016\/j.jclinane.2023.111221","article-title":"Association between postoperative delirium and adverse outcomes in older surgical patients: a systematic review and meta-analysis","volume":"90","author":"Yan","year":"2023","journal-title":"J Clin Anesth"},{"key":"10.1016\/j.bja.2026.08.012_bib3","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1213\/ANE.0000000000006272","article-title":"Association between the FRAIL scale and postoperative complications in older surgical patients: a systematic review and meta-analysis","volume":"136","author":"Gong","year":"2023","journal-title":"Anesth Analg"},{"key":"10.1016\/j.bja.2026.08.012_bib4","doi-asserted-by":"crossref","DOI":"10.1016\/j.jclinane.2022.110883","article-title":"Postoperative outcomes in older surgical patients with preoperative cognitive impairment: a systematic review and meta-analysis","volume":"80","author":"Chen","year":"2022","journal-title":"J Clin Anesth"},{"key":"10.1016\/j.bja.2026.08.012_bib5","doi-asserted-by":"crossref","DOI":"10.1016\/j.jclinane.2025.112015","article-title":"The perioperative impact of frailty and cognitive impairment in older surgical patients: a multicentered longitudinal cohort study","volume":"107","author":"Cheuk","year":"2025","journal-title":"J Clin Anesth"},{"key":"10.1016\/j.bja.2026.08.012_bib6","article-title":"The prevalence and trajectory of frailty in older surgical patients: a longitudinal multicentre cohort study","volume":"44","author":"Lu","year":"2025","journal-title":"Anaesth Crit Care Pain Med"},{"key":"10.1016\/j.bja.2026.08.012_bib7","doi-asserted-by":"crossref","DOI":"10.1016\/j.jclinane.2021.110574","article-title":"Prevalence of preoperative cognitive impairment in older surgical patients.: a systematic review and meta-analysis","volume":"76","author":"Kapoor","year":"2022","journal-title":"J Clin Anesth"},{"key":"10.1016\/j.bja.2026.08.012_bib8","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1097\/ALN.0000000000005172","article-title":"2025 American Society of Anesthesiologists practice advisory for perioperative care of older adults scheduled for inpatient surgery","volume":"142","author":"Sieber","year":"2025","journal-title":"Anesthesiology"},{"key":"10.1016\/j.bja.2026.08.012_bib9","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1016\/j.bja.2020.10.037","article-title":"Improving perioperative brain health: an expert consensus review of key actions for the perioperative care team","volume":"126","author":"Peden","year":"2021","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.bja.2026.08.012_bib10","doi-asserted-by":"crossref","first-page":"726","DOI":"10.1007\/s12603-013-0367-2","article-title":"Cognitive frailty: rational and definition from an (I.A.N.A.\/I.A.G.G.) International Consensus Group","volume":"17","author":"Kelaiditi","year":"2013","journal-title":"J Nutr Health Aging"},{"key":"10.1016\/j.bja.2026.08.012_bib11","doi-asserted-by":"crossref","DOI":"10.1136\/bmj-2024-081164","article-title":"Relative efficacy of prehabilitation interventions and their components: systematic review with network and component network meta-analyses of randomised controlled trials","volume":"388","author":"McIsaac","year":"2025","journal-title":"BMJ"},{"key":"10.1016\/j.bja.2026.08.012_bib12","first-page":"1418","article-title":"Cognitive-frailty phenotyping and postoperative delirium risk in older surgical patients: a retrospective cohort study","volume":"137","author":"Weiss","year":"2026","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.bja.2026.08.012_bib13","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1093\/ageing\/afaa224","article-title":"Diagnostic accuracy of the 4AT for delirium detection in older adults: systematic review and meta-analysis","volume":"50","author":"Tieges","year":"2021","journal-title":"Age Ageing"},{"key":"10.1016\/j.bja.2026.08.012_bib14","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1007\/s44254-026-00181-2","article-title":"Characterizing preoperative domain-specific performance on the Montreal Cognitive Assessment and exploring its associations with adverse outcomes","volume":"4","author":"Yan","year":"2026","journal-title":"Anesthesiol Perioper Sci"},{"key":"10.1016\/j.bja.2026.08.012_bib15","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1186\/s13741-020-0136-9","article-title":"Adherence to recommended practices for perioperative anesthesia care for older adults among US anesthesiologists: results from the ASA Committee on Geriatric Anesthesia-Perioperative Brain Health Initiative ASA member survey","volume":"9","author":"Deiner","year":"2020","journal-title":"Perioper Med"},{"key":"10.1016\/j.bja.2026.08.012_bib16","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1001\/jamasurg.2016.4219","article-title":"Association of a frailty screening initiative with postoperative survival at 30, 180, and 365 days","volume":"152","author":"Hall","year":"2017","journal-title":"JAMA Surg"},{"key":"10.1016\/j.bja.2026.08.012_bib17","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1056\/NEJM199903043400901","article-title":"A multicomponent intervention to prevent delirium in hospitalized older patients","volume":"340","author":"Inouye","year":"1999","journal-title":"N Engl J Med"},{"key":"10.1016\/j.bja.2026.08.012_bib18","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1001\/jamainternmed.2019.4446","article-title":"Effect of the tailored, family-involved hospital elder life program on postoperative delirium and function in older adults: a randomized clinical trial","volume":"180","author":"Wang","year":"2020","journal-title":"JAMA Intern Med"},{"key":"10.1016\/j.bja.2026.08.012_bib19","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1016\/j.bja.2026.05.016","article-title":"Cognitive prehabilitation in surgical patients: a scoping review","volume":"137","author":"Amado","year":"2026","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.bja.2026.08.012_bib20","doi-asserted-by":"crossref","first-page":"1179","DOI":"10.1016\/j.bja.2025.04.016","article-title":"Depression in older surgical patients: a multicentre prospective longitudinal study","volume":"136","author":"Alhamdah","year":"2026","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.bja.2026.08.012_bib21","article-title":"Depression and anxiety among older surgical patients with cognitive impairment: a multicenter longitudinal cohort study","volume":"92","author":"Cheuk","year":"2026","journal-title":"Minerva Anestesiol"},{"key":"10.1016\/j.bja.2026.08.012_bib22","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1097\/EJA.0000000000001876","article-title":"Update of the European Society of Anaesthesiology and Intensive Care Medicine evidence-based and consensus-based guideline on postoperative delirium in adult patients","volume":"41","author":"Aldecoa","year":"2024","journal-title":"Eur J Anaesthesiol"},{"key":"10.1016\/j.bja.2026.08.012_bib23","doi-asserted-by":"crossref","DOI":"10.1016\/j.jclinane.2025.111940","article-title":"The utility of the Ascertain Dementia Eight-item Questionnaire (AD8) and Mini-Cog in detecting cognitive impairment in older surgical patients \u2013 the Detect CI study","volume":"106","author":"Yan","year":"2025","journal-title":"J Clin Anesth"},{"key":"10.1016\/j.bja.2026.08.012_bib24","doi-asserted-by":"crossref","DOI":"10.1016\/j.jclinane.2023.111113","article-title":"The association between midazolam premedication and postoperative delirium - a retrospective cohort study","volume":"92","author":"Zarour","year":"2024","journal-title":"J Clin Anesth"},{"key":"10.1016\/j.bja.2026.08.012_bib25","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1097\/ALN.0000000000005149","article-title":"Association between intraoperative hypotension and postoperative delirium: a retrospective cohort analysis","volume":"141","author":"Zarour","year":"2024","journal-title":"Anesthesiology"}],"container-title":["British Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0007091226006148?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0007091226006148?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T22:09:37Z","timestamp":1793225377000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0007091226006148"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":25,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["S0007091226006148"],"URL":"https:\/\/doi.org\/10.1016\/j.bja.2026.08.012","relation":{},"ISSN":["0007-0912"],"issn-type":[{"value":"0007-0912","type":"print"}],"subject":[],"published":{"date-parts":[[2026,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Onslaught of the silver tsunami: cognitive impairment and frailty in older patients undergoing surgery","name":"articletitle","label":"Article Title"},{"value":"British Journal of Anaesthesia","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.bja.2026.08.012","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"https:\/\/doi.org\/10.1016\/j.bja.2026.06.038","name":"associatedlink","label":"CrossRef DOI link to the associated document"},{"value":"simple-article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}