{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T12:22:56Z","timestamp":1787401376179,"version":"build-2736575974"},"reference-count":50,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jfas.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Foot and Ankle Surgery"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1053\/j.jfas.2026.08.001","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T06:04:13Z","timestamp":1785996253000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dementia and long-term postoperative outcomes after ankle fracture fixation: A national propensity-matched analysis"],"prefix":"10.1053","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6441-824X","authenticated-orcid":false,"given":"Brendon","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0136-5354","authenticated-orcid":false,"given":"Alex","family":"Burton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Kraus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"2","key":"10.1053\/j.jfas.2026.08.001_bib0001","doi-asserted-by":"crossref","first-page":"e105","DOI":"10.1016\/S2468-2667(21)00249-8","article-title":"Estimation of the global prevalence of dementia in 2019 and forecasted prevalence in 2050: an analysis for the global burden of disease study 2019","volume":"7","year":"2022","journal-title":"Lancet Public Health"},{"issue":"5","key":"10.1053\/j.jfas.2026.08.001_bib0002","doi-asserted-by":"crossref","first-page":"3708","DOI":"10.1002\/alz.13809","article-title":"Alzheimer's disease facts and figures","volume":"20","year":"2024","journal-title":"Alzheimers Dement"},{"issue":"16","key":"10.1053\/j.jfas.2026.08.001_bib0003","doi-asserted-by":"crossref","first-page":"1589","DOI":"10.1001\/jama.2019.4782","article-title":"Diagnosis and management of dementia: review","volume":"322","author":"Arvanitakis","year":"2019","journal-title":"JAMA"},{"issue":"1","key":"10.1053\/j.jfas.2026.08.001_bib0004","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1186\/s12877-018-0844-x","article-title":"The effects of pre-existing dementia on surgical outcomes in emergent and nonemergent general surgical procedures: assessing differences in surgical risk with dementia","volume":"18","author":"Kassahun","year":"2018","journal-title":"BMC Geriatr"},{"key":"10.1053\/j.jfas.2026.08.001_bib0005","doi-asserted-by":"crossref","first-page":"1881","DOI":"10.2147\/PPA.S529228","article-title":"Exploring the learning needs for discharge planning among postoperative orthopedic patients: a scoping review","volume":"Volume 19","author":"Rahayu","year":"2025","journal-title":"Patient Prefer Adherence"},{"key":"10.1053\/j.jfas.2026.08.001_bib0006","doi-asserted-by":"crossref","first-page":"203","DOI":"10.2340\/17453674.2025.43006","article-title":"Viberg B. Incidence, treatment, and mortality of ankle fractures: a danish population-based cohort study","volume":"96","author":"Gundtoft","year":"2025","journal-title":"Acta Orthop"},{"issue":"1","key":"10.1053\/j.jfas.2026.08.001_bib0007","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1186\/s12891-018-2326-x","article-title":"Epidemiology of adult ankle fractures: 1756 cases identified in norrbotten county during 2009-2013 and classified according to AO\/OTA","volume":"19","author":"Juto","year":"2018","journal-title":"BMC Musculoskelet Disord"},{"issue":"3","key":"10.1053\/j.jfas.2026.08.001_bib0008","doi-asserted-by":"crossref","DOI":"10.1016\/j.injury.2026.113066","article-title":"Trends in geriatric ankle fractures in the united states: an 8-year analysis","volume":"57","author":"Ayala-Ortiz","year":"2026","journal-title":"Injury"},{"issue":"11","key":"10.1053\/j.jfas.2026.08.001_bib0009","doi-asserted-by":"crossref","first-page":"2819","DOI":"10.1007\/s00198-013-2394-6","article-title":"Ankle fractures have features of an osteoporotic fracture","volume":"24","author":"Lee","year":"2013","journal-title":"Osteoporos Int"},{"issue":"9","key":"10.1053\/j.jfas.2026.08.001_bib0010","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1097\/01.bot.0000177105.53708.a9","article-title":"Ankle fractures in the elderly: what you get depends on where you live and who you see","volume":"19","author":"Koval","year":"2005","journal-title":"J Orthop Trauma"},{"issue":"4","key":"10.1053\/j.jfas.2026.08.001_bib0011","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1053\/j.jfas.2020.03.026","article-title":"The operative treatment of ankle fractures: a 10-year retrospective study of 1529 patients","volume":"60","author":"Fenelon","year":"2021","journal-title":"J Foot Ankle Surg"},{"issue":"3","key":"10.1053\/j.jfas.2026.08.001_bib0012","first-page":"563","article-title":"Frequency and risk factors of complications after surgical treatment of ankle fractures: a retrospective study of 433 patients","volume":"86","author":"Cammas","year":"2020","journal-title":"Acta Orthop Belg"},{"issue":"4","key":"10.1053\/j.jfas.2026.08.001_bib0013","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1053\/j.jfas.2019.12.012","article-title":"Complications after surgical treatment of geriatric ankle fractures","volume":"60","author":"Spek","year":"2021","journal-title":"J Foot Ankle Surg"},{"issue":"4","key":"10.1053\/j.jfas.2026.08.001_bib0014","doi-asserted-by":"crossref","first-page":"780","DOI":"10.1016\/j.injury.2013.11.008","article-title":"Early complications of surgery in operative treatment of ankle fractures in those over 60: a review of 186 cases","volume":"45","author":"Zaghloul","year":"2014","journal-title":"Injury"},{"key":"10.1053\/j.jfas.2026.08.001_bib0015","doi-asserted-by":"crossref","DOI":"10.52965\/001c.116370","article-title":"Complications following surgical treatment of ankle fractures in the elderly: can they be avoided?","volume":"16","author":"Welzel","year":"2024","journal-title":"Orthop Rev"},{"key":"10.1053\/j.jfas.2026.08.001_bib0016","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"},{"issue":"1","key":"10.1053\/j.jfas.2026.08.001_bib0017","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1007\/s00402-026-06233-3","article-title":"Outcomes of modern total joint arthroplasty in patients with dementia: a systematic review of challenges and considerations for perioperative care","volume":"146","author":"Bulut","year":"2026","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1053\/j.jfas.2026.08.001_bib0018","doi-asserted-by":"crossref","DOI":"10.1177\/21514593261417753","article-title":"Effects of dementia on adverse outcomes in geriatric patients undergoing elective total hip arthroplasty: analysis of the US Nationwide Inpatient Sample","volume":"17","author":"Dong","year":"2026","journal-title":"Geriatr Orthop Surg Rehabil"},{"issue":"5","key":"10.1053\/j.jfas.2026.08.001_bib0019","doi-asserted-by":"crossref","first-page":"afag155","DOI":"10.1093\/ageing\/afag155","article-title":"Dementia and postoperative outcomes in older adults: national estimates and mechanistic pathways from a US cohort study","volume":"55","author":"Matar","year":"2026","journal-title":"Age Ageing"},{"key":"10.1053\/j.jfas.2026.08.001_bib0020","doi-asserted-by":"crossref","DOI":"10.1053\/j.jfas.2026.05.006","article-title":"Psychiatric comorbidities, postoperative pain, and healthcare utilization after ankle repair: a propensity-matched analysis","author":"Wang","year":"2026","journal-title":"J Foot Ankle Surg. Advan Online Publicat"},{"issue":"11","key":"10.1053\/j.jfas.2026.08.001_bib0021","doi-asserted-by":"crossref","first-page":"1265","DOI":"10.1177\/10711007251364187","article-title":"Preoperative GLP-1 receptor agonist use and postoperative outcomes following operative ankle fracture repair in patients with type 2 diabetes: a national database study","volume":"46","author":"White","year":"2025","journal-title":"Foot Ankle Int"},{"issue":"8","key":"10.1053\/j.jfas.2026.08.001_bib0022","doi-asserted-by":"crossref","DOI":"10.1371\/annotation\/00d17a45-7b78-4fd5-9a9a-0f2e49b04eee","article-title":"Dementia increases the risks of acute organ dysfunction, severe sepsis and mortality in hospitalized older patients: a national population-based study","volume":"7","author":"Shen","year":"2012","journal-title":"PLoS One"},{"issue":"9","key":"10.1053\/j.jfas.2026.08.001_bib0023","doi-asserted-by":"crossref","first-page":"2051","DOI":"10.1007\/s00268-012-1609-x","article-title":"Postoperative adverse outcomes in surgical patients with dementia: a retrospective cohort study","volume":"36","author":"Hu","year":"2012","journal-title":"World J Surg"},{"key":"10.1053\/j.jfas.2026.08.001_bib0024","doi-asserted-by":"crossref","DOI":"10.3389\/fncel.2021.652111","article-title":"Bachstetter AD. Dysregulation of systemic immunity in aging and dementia","volume":"15","author":"Lutshumba","year":"2021","journal-title":"Front Cell Neurosci"},{"issue":"12","key":"10.1053\/j.jfas.2026.08.001_bib0025","doi-asserted-by":"crossref","DOI":"10.1111\/acel.13511","article-title":"Insights into T-cell dysfunction in Alzheimer's disease","volume":"20","author":"Dai","year":"2021","journal-title":"Aging Cell"},{"key":"10.1053\/j.jfas.2026.08.001_bib0026","first-page":"287","article-title":"Dysphagia in the elderly: management and nutritional considerations","volume":"7","author":"Sura","year":"2012","journal-title":"Clin Interv Aging"},{"issue":"3","key":"10.1053\/j.jfas.2026.08.001_bib0027","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1111\/j.1447-0594.2011.00799.x","article-title":"Factors affecting independence in eating among elderly with Alzheimer's disease","volume":"12","author":"Edahiro","year":"2012","journal-title":"Geriatr Gerontol Int"},{"issue":"13","key":"10.1053\/j.jfas.2026.08.001_bib0028","doi-asserted-by":"crossref","first-page":"4215","DOI":"10.3390\/jcm12134215","article-title":"Trends and risk factors for surgical site infection after treatment of the ankle fracture: national cohort study","volume":"12","author":"Kang","year":"2023","journal-title":"J Clin Med"},{"issue":"7","key":"10.1053\/j.jfas.2026.08.001_bib0029","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1038\/s41579-018-0019-y","article-title":"Implant infections: adhesion, biofilm formation and immune evasion","volume":"16","author":"Arciola","year":"2018","journal-title":"Nat Rev Microbiol"},{"issue":"9431","key":"10.1053\/j.jfas.2026.08.001_bib0030","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1016\/S0140-6736(04)16727-5","article-title":"Osteomyelitis","volume":"364","author":"Lew","year":"2004","journal-title":"Lancet"},{"key":"10.1053\/j.jfas.2026.08.001_bib0031","series-title":"StatPearls [Internet]","article-title":"Pressure ulcer","author":"Zaidi","year":"2024"},{"issue":"3","key":"10.1053\/j.jfas.2026.08.001_bib0032","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1111\/iwj.13110","article-title":"Spasticity and dementia increase the risk of pressure ulcers","volume":"16","author":"Jaul","year":"2019","journal-title":"Int Wound J"},{"issue":"3","key":"10.1053\/j.jfas.2026.08.001_bib0033","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1111\/iwj.13325","article-title":"Exploring the prevalence and management of wounds for people with dementia in long-term care","volume":"17","author":"Parker","year":"2020","journal-title":"Int Wound J"},{"issue":"3","key":"10.1053\/j.jfas.2026.08.001_bib0034","doi-asserted-by":"crossref","first-page":"221","DOI":"10.5455\/msm.2018.30.221-224","article-title":"Communication difficulties as a result of dementia","volume":"30","author":"Banovic","year":"2018","journal-title":"Mater Sociomed"},{"issue":"1","key":"10.1053\/j.jfas.2026.08.001_bib0035","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1186\/s12877-020-1449-8","article-title":"Incidence of and risk factors for postoperative delirium in older adult patients undergoing noncardiac surgery: a prospective study","volume":"20","author":"Iamaroon","year":"2020","journal-title":"BMC Geriatr"},{"issue":"8","key":"10.1053\/j.jfas.2026.08.001_bib0036","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1016\/S1474-4422(15)00101-5","article-title":"The interface between delirium and dementia in elderly adults","volume":"14","author":"Fong","year":"2015","journal-title":"Lancet Neurol"},{"key":"10.1053\/j.jfas.2026.08.001_bib0037","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"},{"issue":"1","key":"10.1053\/j.jfas.2026.08.001_bib0038","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1111\/jgs.13281","article-title":"American geriatrics society abstracted clinical practice guideline for postoperative delirium in older adults","volume":"63","author":"Adults","year":"2015","journal-title":"J Am Geriatr Soc"},{"issue":"2","key":"10.1053\/j.jfas.2026.08.001_bib0039","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2024.0028","article-title":"National estimates of short- and longer-term hospital readmissions after major surgery among community-living older adults","volume":"7","author":"Wang","year":"2024","journal-title":"JAMA Netw Open"},{"issue":"2","key":"10.1053\/j.jfas.2026.08.001_bib0040","doi-asserted-by":"crossref","DOI":"10.1002\/hsr2.70449","article-title":"Thinking about it all together: a descriptive analysis to understand comorbidities in people living with dementia","volume":"8","author":"Zhang","year":"2025","journal-title":"Health Sci Rep"},{"issue":"3","key":"10.1053\/j.jfas.2026.08.001_bib0041","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2016-012546","article-title":"Association of comorbidity and health service usage among patients with dementia in the UK: a population-based study","volume":"7","author":"Browne","year":"2017","journal-title":"BMJ Open"},{"key":"10.1053\/j.jfas.2026.08.001_bib0042","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1186\/s12916-014-0192-4","article-title":"Comorbidity and dementia: a scoping review of the literature","volume":"12","author":"Bunn","year":"2014","journal-title":"BMC Med"},{"issue":"8","key":"10.1053\/j.jfas.2026.08.001_bib0043","doi-asserted-by":"crossref","DOI":"10.1002\/alz.70546","article-title":"Multimorbidity in dementia: current perspectives and future challenges","volume":"21","author":"Stirland","year":"2025","journal-title":"Alzheimers Dement"},{"issue":"1","key":"10.1053\/j.jfas.2026.08.001_bib0044","doi-asserted-by":"crossref","first-page":"e212","DOI":"10.1097\/SLA.0000000000004799","article-title":"The influence of cognitive impairment on postoperative outcomes","volume":"277","author":"Blair","year":"2023","journal-title":"Ann Surg"},{"issue":"22","key":"10.1053\/j.jfas.2026.08.001_bib0045","doi-asserted-by":"crossref","first-page":"8431","DOI":"10.3390\/ijerph17228431","article-title":"Preexisting dementia is associated with increased risks of mortality and morbidity following major surgery: a nationwide propensity score matching study","volume":"17","author":"Wu","year":"2020","journal-title":"Int J Environ Res Public Health"},{"issue":"1","key":"10.1053\/j.jfas.2026.08.001_bib0046","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1186\/s13018-018-0988-6","article-title":"Association between dementia and mortality in the elderly patients undergoing hip fracture surgery: a meta-analysis","volume":"13","author":"Bai","year":"2018","journal-title":"J Orthop Surg Res"},{"issue":"10","key":"10.1053\/j.jfas.2026.08.001_bib0047","doi-asserted-by":"crossref","first-page":"3441","DOI":"10.1097\/00003246-200010000-00012","article-title":"Biochemical changes after trauma and skeletal surgery of the lower extremity: quantification of the operative burden","volume":"28","author":"Pape","year":"2000","journal-title":"Crit Care Med"},{"issue":"4","key":"10.1053\/j.jfas.2026.08.001_bib0048","doi-asserted-by":"crossref","first-page":"1179","DOI":"10.1111\/jgs.19354","article-title":"Mortality and function after hip fracture or pneumonia in people with and without dementia","volume":"73","author":"Hunt","year":"2025","journal-title":"J Am Geriatr Soc"},{"issue":"Suppl 1","key":"10.1053\/j.jfas.2026.08.001_bib0049","doi-asserted-by":"crossref","first-page":"S19","DOI":"10.1016\/j.injury.2020.02.009","article-title":"Influence of cognitive impairment on mortality, complications and functional outcome after hip fracture: dementia as a risk factor for sepsis and urinary infection","volume":"51","author":"Delgado","year":"2020","journal-title":"Injury"},{"issue":"12","key":"10.1053\/j.jfas.2026.08.001_bib0050","doi-asserted-by":"crossref","first-page":"2271","DOI":"10.1097\/CORR.0000000000003542","article-title":"Patients with moderate to severe dementia who undergo elective TKA face elevated risks of death, delirium, and intensive interventions: a large, propensity-weighted database study","volume":"483","author":"Ottesen","year":"2025","journal-title":"Clin Orthop Relat Res"}],"container-title":["The Journal of Foot and Ankle Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1067251626002590?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1067251626002590?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T11:32:58Z","timestamp":1787398378000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1067251626002590"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":50,"alternative-id":["S1067251626002590"],"URL":"https:\/\/doi.org\/10.1053\/j.jfas.2026.08.001","relation":{},"ISSN":["1067-2516"],"issn-type":[{"value":"1067-2516","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Dementia and long-term postoperative outcomes after ankle fracture fixation: A national propensity-matched analysis","name":"articletitle","label":"Article Title"},{"value":"The Journal of Foot and Ankle Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1053\/j.jfas.2026.08.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Published by Elsevier Inc. on behalf of the American College of Foot and Ankle Surgeons.","name":"copyright","label":"Copyright"}]}}