Document Detail

The prescreening history and physical in elective total joint arthroplasty.
MedLine Citation:
PMID:  17823009     Owner:  NLM     Status:  MEDLINE    
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).
John B Meding; Melissa Klay; Angela Healy; Merrill A Ritter; E Michael Keating; Michael E Berend
Related Documents :
24167609 - Nicorandil in patients with acute myocardial infarction undergoing primary percutaneous...
15947399 - Differences in outcomes of patients with congestive heart failure prescribed celecoxib,...
7438579 - Role of aminophylline in refractory heart failure: a comparison to the vasodilator sodi...
466659 - Opposing effects of deoxycorticosterone and spironolactone on isoprenaline-induced myoc...
8393079 - Dilated heart failure in transgenic mice expressing the epstein-barr virus nuclear anti...
9732889 - The influence of basal nitric oxide activity on pulmonary vascular resistance in patien...
16377939 - Newborn infant with maternal anti-ssa antibody-induced complete heart block accompanyin...
12900219 - The molecular basis of myocardial hypertrophy and heart failure.
19437399 - Atrioventricular node ablation is not a prerequisite for cardiac resynchronization ther...
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    
Center for Hip and Knee Surgery, St Francis Hospital Mooresville, Mooresville, Indiana 46158, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Arthroplasty, Replacement*
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

Previous Document:  Studies presented in poster format at the annual meetings of the American Association Of Hip And Kne...
Next Document:  Does "excessive" anticoagulation predispose to periprosthetic infection?