PMID- 10206613 OWN - NLM STAT- MEDLINE DCOM- 19990426 LR - 20190831 IS - 0003-9993 (Print) IS - 0003-9993 (Linking) VI - 80 IP - 4 DP - 1999 Apr TI - Hypothyroidism: its incidence and prevalence in adults older than 55 years of age in an acute rehabilitation unit. PG - 468-9 AB - OBJECTIVE: To investigate the incidence and prevalence of hypothyroidism in the acute rehabilitation unit. DESIGN: Retrospective chart review. SETTING: Inpatient rehabilitation unit. PATIENTS: 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. MAIN OUTCOME MEASURES: Levels of thyroid-stimulating hormone and free thyroxine. RESULTS: 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). CONCLUSION: 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. FAU - Cristian, A AU - Cristian A AD - Division of Physical Medicine and Rehabilitation, North Shore University Hospital at Glen Cove, NY, USA. FAU - Berlow, A AU - Berlow A FAU - Ravishankar, T AU - Ravishankar T FAU - Root, B AU - Root B LA - eng PT - Journal Article PL - United States TA - Arch Phys Med Rehabil JT - Archives of physical medicine and rehabilitation JID - 2985158R RN - 9002-71-5 (Thyrotropin) RN - Q51BO43MG4 (Thyroxine) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Cross-Sectional Studies MH - Female MH - Humans MH - Hypothyroidism/diagnosis/*epidemiology/etiology MH - Incidence MH - Male MH - Middle Aged MH - Patient Admission MH - Rehabilitation Centers/*statistics & numerical data MH - Retrospective Studies MH - Risk Factors MH - Thyrotropin/blood MH - Thyroxine/blood EDAT- 1999/04/17 00:00 MHDA- 1999/04/17 00:01 CRDT- 1999/04/17 00:00 PHST- 1999/04/17 00:00 [pubmed] PHST- 1999/04/17 00:01 [medline] PHST- 1999/04/17 00:00 [entrez] AID - S0003-9993(99)90288-5 [pii] AID - 10.1016/s0003-9993(99)90288-5 [doi] PST - ppublish SO - Arch Phys Med Rehabil. 1999 Apr;80(4):468-9. doi: 10.1016/s0003-9993(99)90288-5.