Prevalence of neurocognitive dysfunction and effects on total joint outcomes

Editor's Note

Neurocognitive dysfunction is highly prevalent in total joint candidates and predisposes patients to suboptimal postoperative outcomes including increased ICU admissions and prolonged rehabilitation, this study finds.

The researchers found that nearly 54% of 99 patients analyzed had neurocognitive dysfunction, which correlated with age more than 60 years, body mass index 20-30 kg/m², ASA score of 3, and depression.

Identifying patients with neurocognitive dysfunction before total joint replacements allows the surgical team to plan better and concentrate postoperative resources to ensure the best outcomes, the researchers say.

The prevalence of neurocognitive dysfunction (NCD) and its effects on postoperative
outcomes have not been well characterized following total joint arthroplasty (TJA)
population. This study aims at better understand this relationship.

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