Preoperative screening for risk factors

Meyer, Matthias and Grifka, Joachim and Kappenschneider, Tobias (2022) Preoperative screening for risk factors. ORTHOPADIE, 51 (8). pp. 684-692. ISSN 2731-7145, 2731-7153

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Abstract

The demographic change and continuously improving healthcare lead to increasing numbers of older, comorbid patients in elective orthopedic surgery. Perioperative risk assessment is crucial for patient counseling and preoperative planning. Risk factors, such as heart failure, chronic obstructive pulmonary disease, peripheral arterial occlusive disease, anemia, malnutrition, obesity, smoking and insufficiently controlled diabetes mellitus are common in patients undergoing elective orthopedic surgery. A thorough and early screening not only enables the individual assessment of the risk profile but in an elective setting also enables the chance for modification of certain risk factors in order to reduce the individual perioperative risk. Meanwhile, recommendations regarding risk stratification and adjustment of modifiable risk factors are included in national guidelines on the indications for elective total hip arthroplasty.

Item Type: Article
Uncontrolled Keywords: TOTAL JOINT ARTHROPLASTY; HEMOGLOBIN A1C; TOTAL HIP; COMPLICATIONS; FRAILTY; OUTCOMES; SMOKING; IMPACT; BLOOD; Modifiable risk factors; Complications; Frailty; Elective orthopedic surgery; Perioperative risk
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Orthopädie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 06 Feb 2024 13:15
Last Modified: 06 Feb 2024 13:15
URI: https://pred.uni-regensburg.de/id/eprint/57671

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