{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T11:59:40Z","timestamp":1776254380415,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2016,9,21]],"date-time":"2016-09-21T00:00:00Z","timestamp":1474416000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Research Division of the VA Portland Health Care System"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To identify a quick clinical tool to assess the risk of delirium after elective surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective observational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Preoperative assessment clinic at the Veterans Affairs Portland Health Care System.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Community\u2010living veterans aged 65 and older scheduled for elective surgery requiring general or major anesthesia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>\n                      Confusion Assessment Method (\n                      <jats:styled-content style=\"fixed-case\">CAM<\/jats:styled-content>\n                      ) or Family Confusion Assessment Method (\n                      <jats:styled-content style=\"fixed-case\">FAM<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">CAM<\/jats:styled-content>\n                      ). Data on education, medications, substance use, Patient Health Questionnaire (\n                      <jats:styled-content style=\"fixed-case\">PHQ<\/jats:styled-content>\n                      \u20109), Study of Osteoporotic Fractures Frailty, Mini\u2010Cog, and Charlson\u2010Deyo score were collected preoperatively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 114 veterans who agreed to participate, 76 completed the final delirium assessment. Ten of the 76 (13%) developed delirium in the 72 hours after surgery as assessed using the\n                      <jats:styled-content style=\"fixed-case\">CAM<\/jats:styled-content>\n                      or\n                      <jats:styled-content style=\"fixed-case\">FAM<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">CAM<\/jats:styled-content>\n                      . In bivariate analysis, factors that increased the odds of delirium at least three times were low education; poor\n                      <jats:styled-content style=\"fixed-case\">PHQ<\/jats:styled-content>\n                      \u20109, clock draw, word recall, Mini\u2010Cog, and poor preoperative orientation scores; alcohol use; and higher comorbidities as measured using Charlson\u2010Deyo index. Scoring the Mini\u2010Cog from 0 to 5 had a higher predictive power (area under the receiving operating characteristic curve = 0.77) than other approaches to scoring the Mini\u2010Cog. Other models did not significantly improve prediction of postoperative delirium risk and would be complicated to use in a clinical setting.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this sample of veterans who had elective surgery with major anesthesia, Mini\u2010Cog score predicted likelihood of postoperative delirium.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.14428","type":"journal-article","created":{"date-parts":[[2016,9,21]],"date-time":"2016-09-21T03:15:39Z","timestamp":1474427739000},"source":"Crossref","is-referenced-by-count":43,"title":["A Simple Tool to Predict Development of Delirium After Elective Surgery"],"prefix":"10.1111","volume":"64","author":[{"given":"Andy","family":"Dworkin","sequence":"first","affiliation":[{"name":"Department of Medicine Legacy Health System Portland Oregon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David S.H.","family":"Lee","sequence":"additional","affiliation":[{"name":"College of Pharmacy Oregon State University &amp; Oregon Health and Science University Portland Oregon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amber R.","family":"An","sequence":"additional","affiliation":[{"name":"Geriatrics Section Veterans Affairs Portland Health Services Center and Oregon Health &amp; Science University Portland Oregon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah J.","family":"Goodlin","sequence":"additional","affiliation":[{"name":"Geriatrics Section Veterans Affairs Portland Health Services Center and Oregon Health &amp; Science University Portland Oregon"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,9,21]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1399-6576.2003.00238.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aet167"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6843"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1992.tb01846.x"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000198602.29716.53"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.165.14.1657"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2006.00815.x"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.162.4.457"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2007.4"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13138"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199903043400901"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13281"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1994.tb06551.x"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afu022"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-113-12-941"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2007.113"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/1099-1166(200011)15:11<1021::AID-GPS234>3.0.CO;2-6"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(92)90133-8"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2012.04200.x"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2012.03923.x"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2005.53269.x"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31818e4776"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2007.01058.x"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/1099-1166(200102)16:2<216::AID-GPS316>3.0.CO;2-B"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.2306"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399-6576.2003.00057.x"},{"key":"e_1_2_6_29_1","first-page":"A465","article-title":"Post\u2010operative sedation and the incidence of ICU delirium in cardiac surgery patients","volume":"99","author":"Maldonado JR","year":"2003","journal-title":"Anesthesiology"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.psy.45.3.235"}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjgs.14428","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjgs.14428","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.14428","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T20:06:09Z","timestamp":1762200369000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.14428"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,9,21]]},"references-count":29,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2016,11]]}},"alternative-id":["10.1111\/jgs.14428"],"URL":"https:\/\/doi.org\/10.1111\/jgs.14428","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"value":"0002-8614","type":"print"},{"value":"1532-5415","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,9,21]]}}}