Olumayowa Pitan1, Mark Williams1, Augustine Obirieze1, Daniel Tran1, David Rose1, Terrence Fullum1, Edward Cornwell1, Kakra Hughes2. 1. Department of Surgery, Howard University College of Medicine and Hospital, 2041 Georgia Avenue, #4B-04, Washington, DC 20060, USA. 2. Department of Surgery, Howard University College of Medicine and Hospital, 2041 Georgia Avenue, #4B-04, Washington, DC 20060, USA. Electronic address: kakra.hughes@howard.edu.
Abstract
BACKGROUND: Previous reports have noted that obese patients undergoing lower extremity arterial reconstruction have higher complication rates compared with nonobese patients. We evaluated the effect of obesity on outcomes following open infrainguinal arterial reconstruction on a national level. METHODS: A query of the American College of Surgeons' National Surgical Quality Improvement Program Database was conducted to identify all adult patients who underwent open infrainguinal lower extremity arterial reconstruction from 2005 to 2009. Postoperative outcomes were analyzed in different body mass index groups. RESULTS: Obese and morbidly obese patients had a higher risk of wound infection when compared with normal weight patients (odds ratios 2.1 and 2.7, P < .05). Obese patients had a lower mortality when compared with normal weight patients (odds ratio .83, P < .05). CONCLUSIONS: Obesity was associated with an increase in wound infection after open lower extremity arterial reconstruction. Obesity, but not morbid obesity, was associated with decreased mortality.
BACKGROUND: Previous reports have noted that obesepatients undergoing lower extremity arterial reconstruction have higher complication rates compared with nonobese patients. We evaluated the effect of obesity on outcomes following open infrainguinal arterial reconstruction on a national level. METHODS: A query of the American College of Surgeons' National Surgical Quality Improvement Program Database was conducted to identify all adult patients who underwent open infrainguinal lower extremity arterial reconstruction from 2005 to 2009. Postoperative outcomes were analyzed in different body mass index groups. RESULTS:Obese and morbidly obesepatients had a higher risk of wound infection when compared with normal weight patients (odds ratios 2.1 and 2.7, P < .05). Obesepatients had a lower mortality when compared with normal weight patients (odds ratio .83, P < .05). CONCLUSIONS:Obesity was associated with an increase in wound infection after open lower extremity arterial reconstruction. Obesity, but not morbid obesity, was associated with decreased mortality.
Authors: Neel A Mansukhani; Katherine E Hekman; Dustin Y Yoon; Irene B Helenowski; Andrew W Hoel; Heron E Rodriguez; William H Pearce; Mark K Eskandari; Tadaki M Tomita Journal: Ann Vasc Surg Date: 2017-12-05 Impact factor: 1.466