BACKGROUND: Controversy exists regarding obesity-related injury severity and clinical outcomes after orthopedic trauma. PURPOSE: The purposes of this study were to expand our understanding of the effect of morbid obesity on perioperative and acute care outcomes after acetabular fracture. METHODS: This was a retrospective review of patients with acetabular fracture after trauma. Non-morbidly obese (BMI < 35 kg/m(2)) and morbidly obese (BMI ≥ 35 kg/m(2); N = 81). Injury severity scores and Glasgow Coma Scale scores (GCS) were collected. Perioperative and acute care outcomes were positioning and operative time, extra fractures, estimated blood loss, complications, hospital charges, ventilator days, transfusions, length of stay (LOS) and discharge destination. Positioning and operative times were longer in morbidly obese patients (p < 0.05). No other differences existed between groups. CONCLUSIONS: Orthopedic trauma surgeons and care teams can expect similar acute care outcomes in morbidly obese and non-morbidly obese patients with acetabular fracture.
BACKGROUND: Controversy exists regarding obesity-related injury severity and clinical outcomes after orthopedic trauma. PURPOSE: The purposes of this study were to expand our understanding of the effect of morbid obesity on perioperative and acute care outcomes after acetabular fracture. METHODS: This was a retrospective review of patients with acetabular fracture after trauma. Non-morbidly obese (BMI < 35 kg/m(2)) and morbidly obese (BMI ≥ 35 kg/m(2); N = 81). Injury severity scores and Glasgow Coma Scale scores (GCS) were collected. Perioperative and acute care outcomes were positioning and operative time, extra fractures, estimated blood loss, complications, hospital charges, ventilator days, transfusions, length of stay (LOS) and discharge destination. Positioning and operative times were longer in morbidly obesepatients (p < 0.05). No other differences existed between groups. CONCLUSIONS:Orthopedic trauma surgeons and care teams can expect similar acute care outcomes in morbidly obese and non-morbidly obesepatients with acetabular fracture.
Authors: Scott E Porter; Matt L Graves; R Allan Maples; James Woodall; John G Wallace; George V Russell Journal: J Orthop Trauma Date: 2011-06 Impact factor: 2.512
Authors: David J Ciesla; Ernest E Moore; Jeffery L Johnson; Jon M Burch; C Clay Cothren; Angela Sauaia Journal: J Am Coll Surg Date: 2006-08-23 Impact factor: 6.113
Authors: Rajshri Maheshwari; Christopher D Mack; Robert P Kaufman; David O Francis; Eileen M Bulger; Sean E Nork; M Bradford Henley Journal: J Orthop Trauma Date: 2009-10 Impact factor: 2.512
Authors: Peter N Mittwede; Christopher M Gibbs; Jaimo Ahn; Patrick F Bergin; Ivan S Tarkin Journal: J Am Acad Orthop Surg Glob Res Rev Date: 2021-04-19