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Post-Operative Cognitive Dysfunction in Normal Aging Patients Undergoing Elective Orthopedic Surgery

Completed
Conditions
Post Operative Cognitive Dysfunction
Interventions
Procedure: Elective Orthopedic Surgery
Registration Number
NCT04267328
Lead Sponsor
HealthPartners Institute
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.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
47
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

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Patients having surgeryElective Orthopedic SurgeryOlder adults undergoing elective orthopedic surgery.
Primary Outcome Measures
NameTimeMethod
Presence of Post Operative Cognitive Dysfunction (POCD)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.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

HealthPartners Neuroscience Center

🇺🇸

Saint Paul, Minnesota, United States

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