Perioperative medicine & outcomes

Prevalence of neurocognitive disorders 5 years after elective orthopaedic surgery

AnaesthesiaPublished Prospective cohort study

Authors' conclusion

More than half of older adult patients had some form of neurocognitive disorder 5 years after elective orthopaedic surgery.

Study context

Population
Older adults (aged ≥ 60 y) undergoing elective orthopaedic surgeryat 5-year follow-up
Participants
195 vs 21
Exposure
Elective orthopaedic surgery patients vs non-surgical controls
  • Patientsn = 195
  • Controln = 21reference
Outcome
Prevalence of neurocognitive disorder (self- and informant-reported cognition, functional participation, neuropsychological tests)
Follow-up
5 years
Methodological details5-year longitudinal, contemporaneous non-surgical control group
  • 5-year longitudinal
  • Contemporaneous non-surgical control group

Main finding

As reported in the abstract

Neurocognitive disorder in patients · 5-year follow-up
GroupValueMild neurocognitive disorderMajor neurocognitive disorder
Patients61.4%88 (44.7%)33 (16.8%)

Patients

Value61.4%
Mild neurocognitive disorder88 (44.7%)
Major neurocognitive disorder33 (16.8%)

Observational data: associations, not effects.

Further findings

Predictors of neurocognitive disorder 5 years after surgery

OR (95% CI)P value
Age1.07 (1.02–1.13)P = 0.01
Baseline cognitive impairment2.1 (1.06–4.15)P = 0.03

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Prevalence of neurocognitive disorders 5 years after elective orthopaedic surgery. Anaesthesia. Published 10 July 2024. doi:10.1111/anae.16365

Composed by AI from the published abstract and checked against it. How Briefs are made →

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