Post-Operative Cognitive Dysfunction in Normal Aging Patients Undergoing Elective Orthopedic Surgery
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Post Operative Cognitive Dysfunction
- Sponsor
- HealthPartners Institute
- Enrollment
- 47
- Locations
- 1
- Primary Endpoint
- Presence of Post Operative Cognitive Dysfunction (POCD)
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
Post-operative cognitive dysfunction (POCD) is a common concern for aging patients undergoing elective orthopedic surgery and significantly effects health outcomes. This study aims to evaluate the incidence of and risk factors associated with post-operative cognitive dysfunction in aging patients without prior history for mild cognitive impairment or dementia.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age ≥50 and ≤90
- •Any patient undergoing elective orthopedic surgery for hip, knee, or shoulder replacement (as defined by diagnostic codes: M16.0, M16.12, M16.11, M17.0, M17.12, M17.11, M19.011, M19.012)
Exclusion Criteria
- •History of cognitive impairment of dementia
- •Montreal cognitive assessment (MoCA) \<26
- •History of Parkinson's disease, progressive supranuclear palsy, corticobasal degeneration, normal pressure hydrocephalus, Huntington's disease, stroke, seizure disorder, brain tumor, or brain surgery
- •History of surgery requiring anesthesia within the past 3 months
Outcomes
Primary Outcomes
Presence of Post Operative Cognitive Dysfunction (POCD)
Time Frame: 3 months
Defined as a decline of 1.5 or greater standard deviation on any one of the cognitive test performed from baseline to three-months post surgery. Score range: 0-100. A higher score indicates more cases of incident of POCD.