| Hypoxemia after total joint arthroplasty: a problem on the rise. | |
| | |
MedLine Citation:
|
PMID: 18809115 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Total joint arthroplasty (TJA) is categorized as a major risk factor for thromboembolic complications. The importance of hypoxemia during the postoperative period is subject of controversy. This prospective study elucidates the incidence and etiology of hypoxemia after TJA. Furthermore, we intended to assess the predictive value of clinical findings in identifying the etiology of hypoxemia after TJA. Of 1971 patients, 78 (4.0%) experienced an acute episode of hypoxemia during their hospitalization after TJA. Hypoxemia as the initial presenting sign, predicted major complications, defined as life-threatening if left untreated, in 32% of the hypoxic population. These diagnoses included pulmonary embolism, pulmonary edema, and pneumonia. Tachypnea was the only independent factor associated with pulmonary embolism. Our study presents the incidence and etiology of hypoxemia after TJA, and we recommend a heightened appreciation for the hypoxemic patient. |
| | |
Authors:
|
Luke Austin; Luis Pulido; Raymond Ropiak; Manny Porat; Javad Parvizi; Richard H Rothman |
Related Documents
:
|
10392485 - Popliteal venous aneurysm mimicking a soft tissue tumour. a case report. 9862095 - Role of echocardiography in systemic arterial embolism. a review with recommendations. 15726055 - The mortality of untreated pulmonary embolism in emergency department patients. 9306945 - Fatal pulmonary embolism in hospitalised medical patients. 8604895 - Demonstration of the nasal septal branches of the sphenopalatine artery by use of a new... 18638885 - Interposition saphenous vein bypass graft between the common and intracranial internal ... |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: The Journal of arthroplasty Volume: 23 ISSN: 1532-8406 ISO Abbreviation: J Arthroplasty Publication Date: 2008 Oct |
Date Detail:
|
Created Date: 2008-09-23 Completed Date: 2009-01-22 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8703515 Medline TA: J Arthroplasty Country: United States |
Other Details:
|
Languages: eng Pagination: 1016-21 Citation Subset: IM |
Affiliation:
|
Rothman Institute of Orthopedics at Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Anoxia
/
epidemiology,
etiology* Arthroplasty, Replacement, Hip / adverse effects* Arthroplasty, Replacement, Knee / adverse effects* Humans Incidence Predictive Value of Tests Prospective Studies Pulmonary Embolism / etiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Clinical policy: critical issues in the evaluation and management of adult patients presenting to th...
Next Document: Coping styles of outpatients with a bipolar disorder.