{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T10:57:58Z","timestamp":1790074678632,"version":"4.0.1"},"reference-count":21,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2015,8,26]],"date-time":"2015-08-26T00:00:00Z","timestamp":1440547200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Challenging Exploratory Research","award":["23659379"],"award-info":[{"award-number":["23659379"]}]},{"name":"Scientific Research","award":["22590651"],"award-info":[{"award-number":["22590651"]}]},{"name":"Scientific Research","award":["25460897"],"award-info":[{"award-number":["25460897"]}]},{"name":"NOVARTIS Foundation for Gerontological Research"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To determine whether carrying out the <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>omprehensive <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>eriatric <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ssessment before operations would be useful for predicting complications, particularly postoperative delirium (<jats:styled-content style=\"fixed-case\">POD<\/jats:styled-content>), in old\u2010old patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 517 patients aged 75 years and older, who underwent radical surgery for gastrointestinal cancer at <jats:styled-content style=\"fixed-case\">O<\/jats:styled-content>saka <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>niversity <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ospital, were recruited for this observational study. The <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>omprehensive <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>eriatric <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ssessment components and assessment of performance status were carried out before surgery, and a record of postoperative complications including <jats:styled-content style=\"fixed-case\">POD<\/jats:styled-content> was made prospectively until discharge from hospital. The following morphological and clinical measurements were also obtained from the medical records: age, sex, disease type, previous history, comorbid lifestyle\u2010related diseases, <jats:styled-content style=\"fixed-case\">POD<\/jats:styled-content>, postoperative complications, operative method, duration of operation, hemorrhage volume, blood transfusion volume, method of anesthesia, body mass index and blood tests.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">POD<\/jats:styled-content> appeared in 24.0% of the 517 patients who underwent surgery. Barthel <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>ndex, <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>ini\u2010<jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>ental <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>tate <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>xamination, instrumental activities of daily living and <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>eriatric <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>epression <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>cale results were associated with the incidence of <jats:styled-content style=\"fixed-case\">POD<\/jats:styled-content>, and the <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>arthel <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>ndex, <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>ini\u2010<jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>ental <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>tate <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>xamination and <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>nstrumental <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ctivities of <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>aily <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>iving results were extracted as independent factors associated with the development of <jats:styled-content style=\"fixed-case\">POD<\/jats:styled-content> after adjusting for traditional risk factors for postoperative complications and performance status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>omprehensive <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>eriatric <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ssessment before gastrointestinal surgery can be a useful tool for predicting the development of <jats:styled-content style=\"fixed-case\">POD<\/jats:styled-content> in old\u2010old patients. <jats:bold>Geriatr Gerontol Int 2016; 16: 1036\u20131042.<\/jats:bold><\/jats:p><\/jats:sec>","DOI":"10.1111\/ggi.12587","type":"journal-article","created":{"date-parts":[[2015,8,27]],"date-time":"2015-08-27T05:17:36Z","timestamp":1440652656000},"page":"1036-1042","source":"Crossref","is-referenced-by-count":33,"title":["Comprehensive Geriatric Assessment is a useful predictive tool for postoperative delirium after gastrointestinal surgery in old\u2010old adults"],"prefix":"10.1111","volume":"16","author":[{"given":"Yoshihiro","family":"Maekawa","sequence":"first","affiliation":[{"name":"Geriatric Medicine Osaka University Graduate School of Medicine  Suita 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