Abstract
Hip and knee arthroplasty (THA, TKA) are safe, effective procedures with reliable,
reproducible outcomes. We aim to investigate obesity's effect on complications following
arthroplasty surgery. Using the American College of Surgeons–National Surgical Quality
Improvement Program database, 13,250 subjects were stratified into 5 groups based
on BMI and matched for gender, age, surgery type and ASA class. Matched, multivariable
generalized linear models adjusting for demographics and comorbidities demonstrated
an association between elevated BMI and overall (P < 0.001), medical (P = 0.005), surgical complications (P < 0.001), including superficial (P = 0.019) and deep wound infection (P = 0.040), return to OR (P = 0.016) and time from OR to discharge (P = 0.003). Elevated BMI increases risk for post-operative complications following total
joint arthroplasty.
Keywords
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Article info
Publication history
Published online: February 06, 2015
Accepted:
January 31,
2015
Received:
September 12,
2014
Footnotes
One or more of the authors of this paper have disclosed potential or pertinent conflicts of interest, which may include receipt of payment, either direct or indirect, institutional support, or association with an entity in the biomedical field which may be perceived to have potential conflict of interest with this work. For full disclosure statements refer to http://dx.doi.org/10.1016/j.arth.2015.01.049.
Grants: No grants or outside funding was obtained for this study.
Identification
Copyright
© 2015 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
