To investigate the incidence and prevalence of hypothyroidism in the acute rehabilitation unit.
Retrospective chart review.
Inpatient rehabilitation unit.
Thirty-five men and 91 women older than the age of 55 years (average, 74 years) separated into postsurgical (PS) and nonsurgical (NS) groups.
Twenty-two men and 76 women were PS, 21 of whom had a history of hypothyroidism.
Thirteen men and 15 women were NS. and 4 in this group had a history of hypothyroidism.
Levels of thyroid-stimulating hormone and free thyroxine.
There were 34 cases of hypothyroidism, a prevalence rate of 27%. The incidence of newly diagnosed cases was 9% (9 of 101).
Six of the newly diagnosed cases were PS patients and three were NS patients.
Eleven cases of undertreated hypothyroidism were found, in 9 PS patients and 2 NS patients.
The rate of undertreated hypothyroidism in the PS population was 43% (9 of 21) : in the nonsurgical population, it was 50% (2 of 4).
The overall rate of undertreated hypothyroidism for both PS and NS groups was 44% (11 of 25).
There is a high prevalence of hypothyroidism on an inpatient rehabilitation unit and a high rate of undertreated hypothyroidism in PS patients.
Screening high-risk patients is recommended.
Mots-clés Pascal : Hypothyroïdie, Personne âgée, Homme, Rééducation, Epidémiologie, Incidence, Prévalence, Analyse biochimique, Hormone thyroïdienne, Endocrinopathie, Thyroïde pathologie, Milieu hospitalier
Mots-clés Pascal anglais : Hypothyroidism, Elderly, Human, Reeducation, Epidemiology, Incidence, Prevalence, Biochemical analysis, Thyroid hormone, Endocrinopathy, Thyroid diseases, Hospital environment
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0253949
Code Inist : 002B21C01. Création : 16/11/1999.