TY - JOUR
T1 - All-cause in-hospital complications and urinary tract infections increased in obese patients undergoing total knee arthroplasty
AU - Abdel, Matthew P.
AU - Ast, Michael P.
AU - Lee, Yuo yu
AU - Lyman, Stephen
AU - González Della Valle, Alejandro
N1 - Funding Information:
This project was partially supported by grant U18 HS16075-05 from the Agency for Healthcare Research and Quality and by the generous donation of Mr. Glenn Bergenfield and the Sidney Milton and Leoma Simon Foundation.
PY - 2014/7
Y1 - 2014/7
N2 - The aims of this study were to determine the rates of in-hospital complications, discharge disposition, and length of stay for patients with varying degrees of obesity. We identified 4718 patients who underwent TKA between 2007 and 2010. After adjusting for age, sex, race, education, Deyo-Charlson comorbidity index, insurance, and discharge disposition, obese patients were more likely to develop any in-hospital complication (6.4% vs. 4.8%, respectively; P= 0.0097; OR = 1.5). When analyzing specific in-hospital complications, obese patients were more likely to suffer urinary tract infections (P= 0.0029). They were also more likely to be discharged to a rehabilitation facility (P= 0.001). There was no significant difference in other postoperative complications. In summary, obese patients undergoing primary TKA are at increased risk for all-cause in-hospital complications and urinary tract infections and are more likely to be discharged to a rehabilitation facility.
AB - The aims of this study were to determine the rates of in-hospital complications, discharge disposition, and length of stay for patients with varying degrees of obesity. We identified 4718 patients who underwent TKA between 2007 and 2010. After adjusting for age, sex, race, education, Deyo-Charlson comorbidity index, insurance, and discharge disposition, obese patients were more likely to develop any in-hospital complication (6.4% vs. 4.8%, respectively; P= 0.0097; OR = 1.5). When analyzing specific in-hospital complications, obese patients were more likely to suffer urinary tract infections (P= 0.0029). They were also more likely to be discharged to a rehabilitation facility (P= 0.001). There was no significant difference in other postoperative complications. In summary, obese patients undergoing primary TKA are at increased risk for all-cause in-hospital complications and urinary tract infections and are more likely to be discharged to a rehabilitation facility.
KW - In-hospital complications
KW - Obesity
KW - Total knee arthroplasty (TKA)
KW - Urinary tract infection (UTI)
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U2 - 10.1016/j.arth.2014.02.013
DO - 10.1016/j.arth.2014.02.013
M3 - Article
C2 - 24703783
AN - SCOPUS:84902845858
SN - 0883-5403
VL - 29
SP - 1430
EP - 1434
JO - Journal of Arthroplasty
JF - Journal of Arthroplasty
IS - 7
ER -