| Literature DB >> 24973929 |
Cameron K Ledford1, Ramon A Ruberte Thiele1, J Stephen Appleton1, Robert J Butler1, Samuel S Wellman1, David E Attarian1, Robin M Queen1, Michael P Bolognesi1.
Abstract
Understanding the impact of obesity on elective total joint arthroplasty (TJA) remains critical. Perioperative outcomes were reviewed in 316 patients undergoing primary TJA. Higher percent body fat (PBF) was associated with postoperative blood transfusion, increased hospital length of stay (LOS) >3 days, and discharge to an extended care facility while no significant differences existed for BMI. Additionally, PBF of 43.5 was associated with a 2.4× greater likelihood of blood transfusion, PBF of 36.5 with a 1.9× greater likelihood for LOS >3 days, and PBF of 36.0 with a 1.4× greater likelihood for discharge to an extended care facility. PBF may be a more effective measure than BMI to use in screening for perioperative risks and acute outcomes associated with obese total joint patients.Entities:
Keywords: body composition; body mass index; obesity; percent body fat; total joint arthroplasty outcomes; total joint arthroplasty perioperative risks
Mesh：
Year: 2014 PMID： 24973929 DOI： 10.1016/j.arth.2013.12.036
Source DB: PubMed Journal: J Arthroplasty ISSN： 0883-5403 Impact factor: 4.757