Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/80500
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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 1532-8406 |
Statement of Responsibility: | 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. |
DOI: | 10.1016/j.arth.2013.06.007 |
Published version: | http://dx.doi.org/10.1016/j.arth.2013.06.007 |
Appears in Collections: | Aurora harvest Psychology publications |
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hdl_80500.pdf | Accepted version | 437.64 kB | Adobe PDF | View/Open |
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