O’Reilly-Shah VN, Hemani S, Davari P, et al. - In a population at high risk of frailty, researchers conducted this retrospective case-control study to illustrate the role that a preoperatively assessed Mini-Cog can play in evaluating the risk of adverse perioperative outcomes. They preoperatively assessed patients who were > 60 years of age, nonambulatory, or had > 5 documented medications for handgrip strength, walking speed, and Mini-Cog score. Data for 1,132 individuals undergoing a wide variety of surgical procedures were available. Findings suggested that Mini-Cog may not be sensitive enough to identify significant differences for most adverse outcomes in a high-risk pool of patients. In this context, further work is needed to evaluate whether cognitive screens with higher resolution are of value and to compare tools for evaluating the overall frailty status.