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The patients' mean age was 67.05 years (SD 9.49 years). Mini-Mental State Examination scores of less than 27 points were recorded for 41 patients. Overall mortality rates were 22.4 and 47.6% in the control and cognitive impairment groups, respectively (p = 0.013). In the univariate Cox regression analysis, cognitive impairment measured using age- and education-adjusted MMSE scores increased the risk of mortality (AHR 2.842, 95% CI 1.389-5.815, p = 0.004). Even mild cognitive dysfunction measured preoperatively using the MMSE represe