000008342 001__ 8342 000008342 005__ 20240412121123.0 000008342 0247_ $$2DOI$$a10.6083/br86b3987 000008342 037__ $$aIR 000008342 245__ $$aMultimodal preoperative screening for recent nicotine and marijuana use in hip and knee arthroplasty patients at the Portland VA Medical Center 000008342 260__ $$bOregon Health and Science University 000008342 269__ $$a2020 000008342 336__ $$aAbstract 000008342 520__ $$aTobacco use is associated with increased post-operative complications and is often underreported by patients. Recent literature also suggests that cannabis use may be correlated with post-operative complications. The prevalence of tobacco has been reported as disproportionately high in the veteran population and little is known about the population's cannabis use. Traditional biochemical testing methods, including serum and urine cotinine assays, do not differentiate active smoking from nicotine replacement therapy (NRT), and total joint arthroplasty patients are not regularly screened for the use of cannabis. This study intends to determine the prevalence of cigarette smoking, nicotine replacement therapy (NRT), and cannabis use in the population and evaluate the effectiveness of a novel point-of-care carbon monoxide (CO) breath test to verify smoking status. 000008342 540__ $$fCC BY 000008342 542__ $$fIn copyright - joint owners 000008342 650__ $$aInpatients$$020846 000008342 650__ $$aTobacco Products$$040120 000008342 650__ $$aCannabinoids$$016024 000008342 650__ $$aPostoperative Period$$024463 000008342 650__ $$aPrevalence$$028804 000008342 650__ $$aTobacco Use Cessation Devices$$039946 000008342 650__ $$aArthroplasty, Replacement$$031757 000008342 650__ $$aCannabis$$016026 000008342 650__ $$aPostoperative Complications$$024462 000008342 650__ $$aOrthopedics$$023320 000008342 6531_ $$asmokerlyzer 000008342 6531_ $$apoint-of-care carbon monoxide breath test 000008342 6531_ $$asurgical outcomes 000008342 6531_ $$atotal joint arthroplasty 000008342 691__ $$aSchool of Medicine$$041369 000008342 7001_ $$aTabb, John$$uOregon Health and Science University$$041354 000008342 7001_ $$aSterrenberg, Sean$$uOregon Health and Science University$$041354 000008342 7001_ $$aGallacher, David$$uOregon Health and Science University$$041354 000008342 7001_ $$aSchmidt, Melissa$$uOregon Health and Science University$$041354 000008342 7001_ $$aGundle, Kenneth$$uOregon Health and Science University$$041354 000008342 7001_ $$aWallenberg, Ryan$$uOregon Health and Science University$$041354 000008342 711__ $$aResearch Week$$uOregon Health and Science University$$d2020 000008342 8564_ $$9c5f76db0-dbc7-4a9f-8d24-8b8073b10a38$$s48180$$uhttps://digitalcollections.ohsu.edu/record/8342/files/ResearchWeek.2020.Tabb.John.pdf 000008342 905__ $$a/rest/prod/br/86/b3/98/br86b3987 000008342 980__ $$aResearch Week