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Healthy lifestyle, positive attitude can help improve patient outcomes
Date:2/16/2011

each additional point in the 12-point scale corresponded with a 29-percent increase in the expected number of complications.

"Complications following total joint replacement and alcohol misuse are exponentially related," said lead author Nicholas J. Giori, MD, orthopaedic surgeon at Palo Alto Veterans Affairs Medical Center and associate professor of orthopaedic surgery at Stanford University Hospital. "These results, though from a small selection of patients, indicate the need for preoperative screenings and possibly interventions for alcohol misuse among joint replacement candidates."

*The U.S. Health and Human Services offers a guideline for moderate alcohol use as one or fewer drinks per day for women and two or fewer drinks per day for men. This study defined "alcohol misuse" by the AUDIT-C a Veterans' Affairs screening tool. Patients at risk for "alcohol misuse" was defined by the AUDIT-C Veterans' Affairs screening tool and can include either drinking more than 4 times a week, having more than 9 standard drinks in a typical day, or routinely having more than 6 drinks a day.

Patients' stable blood sugar can help healing (Embargo: February 15)

In another study, researchers at the Orthopedic Institute in Miami reported that type 2 diabetic patients who had preoperative hypoglycemia (low blood sugar) and hyperglycemia (high blood sugar) fared worse after total joint replacement surgery than those who were able to keep their blood sugar (HbA1c) at normal levels.

Surgeons conducted 121 consecutive primary total joint replacements on type 2 diabetic patients and evaluated them based on preoperative HbA1c levels.* They divided the group into three segments25 percent of patients were hypoglycemic, 50 percent were within normal ranges and 25 percent were hyperglycemicand compared each of the three segment's patient-oriented outcomes, complications, length of stay and hospital costs.

Researchers found a significant
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Contact: Lauren Pearson
pearson@aaos.org
847-384-4031
American Academy of Orthopaedic Surgeons
Source:Eurekalert

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