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Monitoring Cognitive Health Before and After Orthopedic Surgery

Orthopedic surgery is expected to increase over the next several years. The majority of these elective surgeries are performed on persons over 65 years old who have a higher risk for cognitive impairment (CI). CI is when a person has some level of difficulty in remembering, learning new things, concentrating, or making decisions. Studies have shown that persons with existing CI have an increased risk for post-operative delirium and slower cognitive functional recovery. In addition, undergoing anesthesia poses risks for CI even for a cognitively healthy person.
Hoag Orthopedic Institute and Hoag Neurosciences Institute are jointly conducting a study to incorporate cognitive assessment into the orthopedic surgery clinical path, and to examine the effect of cognitive-based decision making in clinical care delivery in persons over 65 years old.
We hope that the knowledge acquired through this research will give us a better understanding of the relationship between CI and orthopedic surgery, and potentially lead to better clinical care delivery for patients undergoing orthopedic surgery.

WHAT YOU WILL DO IF YOU TAKE PART IN THE STUDY

If you agree to participate in the study, you will be asked to:
• Review and sign an informed consent form
• Have cognitive assessment before your surgery
• Have cognitive assessment at the time of discharge
• Have cognitive assessment at 6- and 12-months after your surgery

POTENTIAL BENEFITS TO YOU FROM PARTICIPATING IN THE STUDY

Based on the pre-operative cognitive assessment, the surgical procedures (e.g., types of anesthesia) may be modified to reduce the risk for post-operative delirium and to lessen the risk of a longer hospital stay during recovery. Also, the post-operative assessments at 6 and 12 months will help you monitor your cognitive functional recovery. In addition, the knowledge we obtain from this study may help us to better treat future patients.

HOW TO PARTICIPATE IN THE STUDY

If you are interested in participating the study, please call to schedule your first appointment at one of the assessment locations listed below. When you call, please make sure to tell the scheduler that you are scheduling for the Hoag Orthopedic Institute study. Your first appointment will be approximately 45 minutes. At the appointment, you will be asked to review and sign an informed consent form, and receive the first cognitive assessment.

There will be a charge of $45 for each assessment.

ASSESSMENT LOCATIONS
Hoag Neurosciences Institute
Third floor
3900 West Coast Highway, Newport Beach, CA 92663
Please call (949) 764-6288 to schedule an appointment

Hoag Hospital Irvine
Physician Office Building (located near the hospital)
16300 Sand Canyon Ave, Suite 301, Irvine, CA 92618
Please call (949) 341-0307 to schedule an appointment

Hoag Health Center Huntington Beach
19582 Beach Blvd, Suite 100, Huntington Beach, CA 92648
Please call (949) 764-6288 to schedule an appointment

ANY QUESTIONS?

If you have any questions about the study, please call (949) 764-6288.
Please be sure to mention the Hoag Orthopedic study. One of our team members will return your call
as soon as they become available.