The impact of obesity on resource utilization among patients undergoing total joint arthroplasty

International Orthopaedics
Federico M GirardiStavros G Memtsoudis

Abstract

The presence of obesity poses a challenge for clinical and administrative staff in the peri-operative setting. Evidence indicates that obesity may increase peri-operative complications. However, data on resource utilization in patients undergoing total knee and hip arthroplasty remain rare. Using national data, we sought to determine whether increasing levels of patient obesity is associated with greater resource utilization. We hypothesized that patient care in individuals with a body mass index (BMI) greater than 40 is associated with longer operative and anaesthetic times, longer hospital stays, and greater readmission rates. We utilized national data from the National Surgical Quality Improvement Project and identified patients who underwent primary total knee arthroplasty (TKA) and total hip arthroplasty (THA). Patients were divided into three groups according to their BMI (18.5 BMI < 30, 40 BMI < 45, and 45 BMI). The groups were compared regarding associated operating room utilization, length of stay, and readmission rates. Our study showed that TKA and THA patients with higher BMI required significantly longer operation-related times and had higher total length of hospital stay. Higher BMI patients also carried higher od...Continue Reading

References

Oct 11, 2005·The Journal of Arthroplasty·Robert S NambaMary Lou Stone
Mar 4, 2008·The Journal of Bone and Joint Surgery. British Volume·M ChangulaniR E Field
Mar 13, 2009·Public Health Nutrition·John A BatsisJeanne M Huddleston
Feb 23, 2010·The Journal of Arthroplasty·John A BatsisJeanne M Huddleston
Jun 1, 2010·International Orthopaedics·Eric YeungWilliam Walter
Sep 13, 2012·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·J JärvenpääH Kröger
Oct 20, 2012·The Journal of Bone and Joint Surgery. American Volume·Gino M M J KerkhoffsDaniel Haverkamp
Jan 30, 2013·The Journal of Knee Surgery·Ibrahim J RaphaelJavad Parvizi
May 14, 2014·Clinical Orthopaedics and Related Research·Michele R D'ApuzzoJames A Browne
Jan 27, 2015·The New England Journal of Medicine·Sylvia M Burwell
Mar 31, 2015·International Orthopaedics·Georgios K TriantafyllopoulosThomas P Sculco
Aug 15, 2015·International Orthopaedics·Zhongxi MaJinming Zhang
Dec 22, 2015·International Orthopaedics·José Carlos MinarroAlberto Damián Delgado-Martínez
Aug 9, 2017·International Orthopaedics·Bradley S SchochRobert H Cofield

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Citations

Aug 3, 2019·International Orthopaedics·Jeries HakimJamal Ownallah
Feb 20, 2021·The Journal of Knee Surgery·Charlie D WilsonBryce C Allen
Jun 15, 2021·JBJS Reviews·Satish M MahajanThomas Osborne

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