It has been noticed that people who suffer from neurocognitive deficits but are yet to be diagnosed with it are opting for knee and hip replacements at very high rates and those people are very likely to witness poorer short-term outcomes post surgery. Such findings were made by a new research that was being led by orthopedic surgeons at New York University Langone Health
The study comprised those patients who were examined for cognitive assessments before going through a replacement or total joint arthroplasty, and it reflected that those patients who did not fare well at the tests were substantially more likely to lag behind in the process of rehabilitation and is likely to need admission in the intensive care unit or ICU as it is widely known as.
Progress Have Been Slow Even with Physical Therapy Post Surgery
An associate professor of orthopedic surgery at NYU School of Medicine and an attending orthopedic surgeon and clinical site chief at NYU Langone Orthopedic Hospital, James Slover opined that the data that has been gathered so far make a suggestion that neurocognitive impairment is mostly found in older individuals who are about to have total joint replacements. He further suggested that the rate of such a thing could be underestimated across the nation.
He also says that such patients need more resources from the hospital and their progression has been quite slow even with physical therapy post the surgery. As such, it is important to come up with strategies so as to screen those patients in advance and protocols need to be made and implemented so as to provide them with more support before and post surgery.
The said research was presented in a poster session at the 2018 Annual Meeting of American Academy of Orthopaedic Surgeons (AAOS) at New Orleans, Louisiana. The findings of this research were also published on Journal of Arthroplasty, February 2018 issue.