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Predictors of Acute Ischemic Stroke After Total Knee Arthroplasty.
Authors: Menendez ME, Greber EM, Schumacher CS, Lowry Barnes C Abstract Although acute ischemic stroke (AIS) is a feared medical complication after total knee arthroplasty (TKA), little is known about its incidence and risk factors. The purpose of this retrospective populationbased study using the Nationwide Inpatient Sample (2008-2011) was to determine the incidence and predictors of AIS following TKA. The rate of perioperative AIS was 0.08%. Patients undergoing bilateral TKA were almost three times more likely to develop AIS compared with unilateral TKA patients. The age group with the highest odds of AIS was ≥...
Source: Journal of surgical orthopaedic advances - November 14, 2017 Category: Orthopaedics Tags: J Surg Orthop Adv Source Type: research

Increased risk of cardiovascular events in end-stage renal disease patients with osteoporosis: a nationwide population-based cohort study
Conclusions The results showed that osteoporosis was significantly associated with the subsequent risk of cardiovascular events in patients with ESRD. When encountering patients with ESRD and osteoporosis, physicians should be alert to the subsequent cardiovascular risk in incident dialysis patients to prevent the subsequent occurrence of these adverse events.
Source: Osteoporosis International - December 9, 2014 Category: Orthopaedics Source Type: research

History of cardiovascular disease and cardiovascular biomarkers are associated with 30-day mortality in patients with hip fracture
ConclusionPreexisting CVD was associated with increased 30-day mortality after a hip fracture. Furthermore, high levels of NT-proBNP and low levels of HDL cholesterol were associated with increased 30-day mortality.
Source: Osteoporosis International - July 3, 2019 Category: Orthopaedics Source Type: research

Effects of Patient Comorbidities and Demographics on Episode-of-Care Costs Following Total Shoulder Arthroplasty
CONCLUSION: Providers should be aware that certain demographic variables and comorbidities (history of stroke, dementia, chronic pulmonary disease, anemia, heart disease, advanced age, and elevated body mass index) are associated with an increase in total costs following primary shoulder arthroplasty. Further study is required to determine whether bundled payment target costs should be adjusted to better compensate for specific comorbidities.LEVEL OF EVIDENCE: Level IV case series.PMID:36749879 | DOI:10.5435/JAAOS-D-22-00450
Source: The Journal of the American Academy of Orthopaedic Surgeons - February 7, 2023 Category: Orthopaedics Authors: Dominic M Farronato Joshua D Pezzulo Alexander J Rondon Sean Porrini Diane McGonigal Charles L Getz Daniel E Davis Source Type: research

Calcium Supplements Increase Risk of Myocardial Infarction
Abstract The cardiovascular safety of calcium supplements has been revisited with a further meta‐analysis,(1) which concludes that calcium supplementation does not increase coronary heart disease in women, without providing data for men. Their conclusion is at odds with that of our meta‐analyses, which reported that calcium increased the risk of myocardial infarction (MI) and possibly stroke in men and women together.(2,3)There are important differences between approaches to the meta‐analyses. In the current paper and previously, the authors suggest that including men and self‐reported events may have explained the...
Source: Journal of Bone and Mineral Research - September 11, 2014 Category: Orthopaedics Authors: Mark J Bolland, Andrew Grey, Alison Avenell, Ian R Reid Tags: Letter to the Editor Source Type: research

Sweet and brittle — Diabetes mellitus and the skeleton
Diabetes mellitus, especially type 2 diabetes mellitus (T2DM), has become a medical mass phenomenon in many parts of the world. Unrestricted access to a high-carbohydrate/high-fat diet in combination with considerably higher energy uptake compared to expenditure has led to a pandemic of the metabolic syndrome and T2DM in many countries. Vascular complications resulting from T2DM include nephropathy, neuropathy and retinopathy as well as ischemic heart disease, peripheral vascular disease and stroke.
Source: Bone - September 9, 2015 Category: Orthopaedics Authors: Lorenz C. Hofbauer, Beata Lecka-Czernik, Markus J. Seibel Tags: Editorial Source Type: research

Incidence and risk factors of medical complications and direct medical costs after osteoporotic fracture among patients in China
ConclusionsOsteoporotic fractures led to amount of medical complications, which significantly increased patients ’ economic burden. Complications correlate to various factors such as patients’ disease history.
Source: Archives of Orthopaedic and Trauma Surgery - February 27, 2018 Category: Orthopaedics Source Type: research

Long-term Tai Chi Practitioners Have Superior Body Stability under Dual Task Condition during Stair Ascent
Each year, approximately one third elderly individuals will experience falls, which constitute the fifth leading cause of death, following common severe diseases, i.e., cancer, heart disease, stroke, and respiratory diseases[1], stair walking contributed to 26% of self-reported falls and become the leading cause of accidental death among the elderly[2]. Declining physical and cognitive functions increase the challenge of stair ascent among the elderly[3,4].
Source: Gait and Posture - August 13, 2018 Category: Orthopaedics Authors: Qipeng Song, Li Li, Cui Zhang, Wei Sun, Dewei Mao Tags: Full length article Source Type: research

Osteoporosis and the long-term risk of peripheral artery disease: a population-based longitudinal follow-up study in Taiwan
ConclusionThis study found an increased long-term risk of PAD in both men and women with osteoporosis.Mini abstractOsteoporosis has been associated with increased risks of atherosclerotic diseases. However, the relationship between osteoporosis and peripheral artery disease remains uncertain. The present population-based longitudinal follow-up study showed that patients with osteoporosis are at an increased risk of developing peripheral artery disease.
Source: Osteoporosis International - January 12, 2022 Category: Orthopaedics Source Type: research