Activity, Sleep and Cognition After Fast-Track Hip or Knee Arthroplasty

TY - JOUR

T1 - Activity, Sleep and Cognition After Fast-Track Hip or Knee Arthroplasty

AU - Krenk, Lene

AU - Jennum, Poul

AU - Kehlet, Henrik

N1 - Copyright © 2013 Elsevier Inc. All rights reserved.

PY - 2013/9

Y1 - 2013/9

N2 - Optimized perioperative care after total hip and knee arthroplasty (THA/TKA) has decreased length of stay (LOS) but data on activity, sleep and cognition after discharge are limited. We included 20 patients ≥60years undergoing THA/TKA, monitoring them for 3days preoperatively and 9days postoperatively with actigraphs for sleep and activity assessment. Pain scores were recorded daily. Cognition was evaluated by 2 cognitive tests. Results showed a mean age was 70.5years and mean LOS was 2.6days. Actigraphs showed increased daytime sleep and decreased motor activity postoperatively. Early postoperatively cognitive decline and increased pain returned to preoperative levels by postoperative day (POD) 5-9. Despite the small sample size the study illustrated that post-discharge activity is decreased and daytime sleep is increased after fast-track THA/TKA, while cognition and pain return to preoperative levels by POD 9. Objective assessment of these recovery parameters may be valuable in future interventional studies to enhance recovery after THA/TKA.

AB - Optimized perioperative care after total hip and knee arthroplasty (THA/TKA) has decreased length of stay (LOS) but data on activity, sleep and cognition after discharge are limited. We included 20 patients ≥60years undergoing THA/TKA, monitoring them for 3days preoperatively and 9days postoperatively with actigraphs for sleep and activity assessment. Pain scores were recorded daily. Cognition was evaluated by 2 cognitive tests. Results showed a mean age was 70.5years and mean LOS was 2.6days. Actigraphs showed increased daytime sleep and decreased motor activity postoperatively. Early postoperatively cognitive decline and increased pain returned to preoperative levels by postoperative day (POD) 5-9. Despite the small sample size the study illustrated that post-discharge activity is decreased and daytime sleep is increased after fast-track THA/TKA, while cognition and pain return to preoperative levels by POD 9. Objective assessment of these recovery parameters may be valuable in future interventional studies to enhance recovery after THA/TKA.

U2 - 10.1016/j.arth.2013.02.013

DO - 10.1016/j.arth.2013.02.013

M3 - Journal article

C2 - 23541866

SN - 0883-5403

JO - Journal of Arthroplasty

JF - Journal of Arthroplasty

ER -