Document Detail


The prescreening history and physical in elective total joint arthroplasty.
MedLine Citation:
PMID:  17823009     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
During 2002 and 2003, 1438 patients underwent a complete medical history and physical by the same hospital-based prescreening program before elective total joint arthroplasty to determine the benefits of this preoperative examination. Sixty percent of patients were female. Mean age was 67.5 years. New diagnoses established as a result of this prescreening program included coronary artery disease (0.12%), congestive heart failure (0.6%), valvular heart disease (3.2%), cardiac dysrhythmia (4.4%), chronic obstructive pulmonary disease (7.2%), cancer (9.6%), hypertension (55.8%), gastrointestinal disorder (37.1%), diabetes mellitus (12.1%), and urinary tract infection (2.2%). Forty-five (2.5%) patients were deemed unacceptable surgical candidates. Patients identified with an increased risk of perioperative cardiac problems were those with a preoperative diagnosis of valvular heart disease (P = .0077), congestive heart failure (P = .0093), or diabetes mellitus (P = .0187).
Authors:
John B Meding; Melissa Klay; Angela Healy; Merrill A Ritter; E Michael Keating; Michael E Berend
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2007-07-26
Journal Detail:
Title:  The Journal of arthroplasty     Volume:  22     ISSN:  0883-5403     ISO Abbreviation:  J Arthroplasty     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-09-07     Completed Date:  2008-01-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703515     Medline TA:  J Arthroplasty     Country:  United States    
Other Details:
Languages:  eng     Pagination:  21-3     Citation Subset:  IM    
Affiliation:
Center for Hip and Knee Surgery, St Francis Hospital Mooresville, Mooresville, Indiana 46158, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Arthroplasty, Replacement*
Female
Humans
Male
Medical History Taking*
Patient Selection
Physical Examination*
Preoperative Care*
Surgical Procedures, Elective*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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