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Type: Journal article
Title: Postoperative cognitive dysfunction after total joint replacement in the elderly: A meta-analysis
Author: Scott, J.
Mathias, J.
Kneebone, A.
Citation: Journal of Arthroplasty, 2014; 29(2):261-267
Publisher: Elsevier
Issue Date: 2014
ISSN: 0883-5403
Statement of
Julia E. Scott, Jane L. Mathias, Anthony C. Kneebone
Abstract: This meta-analysis consolidated the research on postoperative cognitive dysfunction (POCD) following total joint arthroplasty (TJA). Data from 17 studies that assessed cognition pre- and post-surgery in TJA patients alone (15 studies) or matched TJA and control groups (2 studies) were analysed. Results were grouped by cognitive domain (memory, attention, language, speed, general cognition) and follow-up interval (pre-discharge, 3-6 months post-surgery). The TJA data revealed small declines in reaction time and general cognition pre-discharge, but no evidence of decline 3–6 months post-surgery. Very limited TJA and Control data indicated no group differences in the changes to performance over time; however, the TJA group was cognitively compromised pre- and post-surgery compared to Controls. Further appropriately controlled research is required to clarify whether POCD commonly occurs after TJA.
Keywords: total joint arthroplasty; post-operative cognitive dysfunction; elderly; meta-analysis; outcomes
Description: First published online 2013
Rights: Crown Copyright © 2013.
RMID: 0030000410
DOI: 10.1016/j.arth.2013.06.007
Appears in Collections:Psychology publications

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