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Predictors for Unfavorable Early Outcomes in Elective Total Hip Arthroplasty: Does Extreme Body Mass Index Matter?
المؤلفون المشاركون
Hsieh, Pang-Hsin
Hung, Chun-Yu
Chang, Chih-Hsiang
Lin, Yu-Chih
Lee, Shen-Hsun
Chen, Szu-Yuan
المصدر
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-10-07
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Background.
Studies of previous cohorts have demonstrated a controversial association between extreme body mass index (BMI) and complication rates following total hip arthroplasty (THA).
The purpose of this study was to compare 30-day perioperative complications in underweight (BMI <18.50 kg/m2), normal-weight (BMI 18.50–24.99 kg/m2), overweight (BMI 25.00–29.99 kg/m2), class I obesity (BMI 30.00–34.99 kg/m2), and morbidly obese (BMI ≥35.00 kg/m2) groups.
Methods.
We performed a cohort study including patients who underwent unilateral primary THA by a single surgeon between January 2010 and December 2015 at our institution.
We assessed 30-day complications, operation time, operative blood loss, and length of hospital stay.
Results.
We identified 1565 primary THAs that were performed in patients with varying BMI levels.
Compared with the normal-weight patients, the morbidly obese group had a higher 30-day complication rate (8.9% vs.
2.4%), longer operative time (79 minutes vs.
70 minutes), and more blood loss (376 mL vs.
302 mL).
Underweight patients did not present any 30-day complications, and there were no differences among underweight and normal-weight patients regarding complication rates, operative time, or blood loss.
The mean length of hospital stay was comparable among the different BMI groups.
In the multivariate regression model, higher BMI was not associated with a higher risk of 30-day complications.
Independent risk factors for 30-day complications were advanced age, prolonged operative time, and cardiovascular comorbidities.
Conclusion.
Although increased operative time, blood loss, and perioperative complications were seen in the morbidly obese patients, BMI alone was not an independent risk factor for a higher 30-day complication rate.
Therefore, our data suggest clinicians should make elderly patients aware of increased 30-day complications before the procedure, particularly those with cardiovascular comorbidities.
Withholding THA solely on the basis of BMI is not justified.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Hung, Chun-Yu& Chang, Chih-Hsiang& Lin, Yu-Chih& Lee, Shen-Hsun& Chen, Szu-Yuan& Hsieh, Pang-Hsin. 2019. Predictors for Unfavorable Early Outcomes in Elective Total Hip Arthroplasty: Does Extreme Body Mass Index Matter?. BioMed Research International،Vol. 2019, no. 2019, pp.1-8.
https://search.emarefa.net/detail/BIM-1125308
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Hung, Chun-Yu…[et al.]. Predictors for Unfavorable Early Outcomes in Elective Total Hip Arthroplasty: Does Extreme Body Mass Index Matter?. BioMed Research International No. 2019 (2019), pp.1-8.
https://search.emarefa.net/detail/BIM-1125308
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Hung, Chun-Yu& Chang, Chih-Hsiang& Lin, Yu-Chih& Lee, Shen-Hsun& Chen, Szu-Yuan& Hsieh, Pang-Hsin. Predictors for Unfavorable Early Outcomes in Elective Total Hip Arthroplasty: Does Extreme Body Mass Index Matter?. BioMed Research International. 2019. Vol. 2019, no. 2019, pp.1-8.
https://search.emarefa.net/detail/BIM-1125308
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1125308
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر
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