The Role of BMI in Hip Fracture Surgery

Geriatric Orthopaedic Surgery & Rehabilitation
Sheriff D AkinleyeOrry Erez

Abstract

Obesity is an oft-cited cause of surgical morbidity and many institutions require extensive supplementary screening for obese patients prior to surgical intervention. However, in the elderly patients, obesity has been described as a protective factor. This article set out to examine the effect of body mass index (BMI) on outcomes and morbidity after hip fracture surgery. The National Surgical Quality Improvement Program database was queried for all patients undergoing 1 of 4 surgical procedures to manage hip fracture between 2008 and 2012. Patient demographics, BMI, and known factors that lead to poor surgical outcomes were included as putative predictors for complications that included infectious, cardiac, pulmonary, renal, and neurovascular events. Using χ2tests, 30-day postoperative complication rates were compared between 4 patient groups stratified by BMI as low weight (BMI < 20), normal (BMI = 20-30), obese (BMI = 30-40), and morbidly obese (BMI > 40). A total of 15 108 patients underwent surgery for hip fracture over the examined 5-year period. Of these, 18% were low weight (BMI < 20), 67% were normal weight (BMI = 20-30), 13% were obese (BMI = 30-40), and 2% were morbidly obese (BMI > 40). The low-weight and morbidly ob...Continue Reading

References

Aug 18, 1997·The American Journal of Medicine·O Johnell
Jan 1, 1997·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·B GullbergJ A Kanis
Feb 18, 2003·Journal of the American Geriatrics Society·R Scott BraithwaiteJohn B Wong
Jan 26, 2005·Journal of Orthopaedic Trauma·Yoshimi EndoKenneth J Koval
Oct 4, 2005·Lancet·David W Haslam, W Philip T James
Mar 15, 2006·Journal of Occupational and Environmental Medicine·D Adam LongGregg Lehman
Mar 24, 2006·BMJ : British Medical Journal·Alex Bottle, Paul Aylin
Nov 8, 2007·JAMA : the Journal of the American Medical Association·Dawn E Alley, Virginia W Chang
Mar 19, 2009·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·Thomas J BeckZhao Chen
Apr 22, 2009·Circulation·Tracie C CollinsUNKNOWN Osteoporotic Fractures in Men (MrOS) Study Group
Jul 29, 2009·Health Affairs·Eric A FinkelsteinWilliam Dietz
Oct 8, 2009·American Journal of Epidemiology·Suzanne E BentlerFredric D Wolinsky
May 1, 2010·Journal of Occupational and Environmental Medicine·DaeHwan Kim, John Paul Leigh
Jun 4, 2010·International Journal of Clinical Practice·E A GrecoS Migliaccio
Jul 6, 2010·Archives of Biochemistry and Biophysics·Ian R Reid
Jul 20, 2010·Archives of Biochemistry and Biophysics·Harri Sievänen
May 17, 2011·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Annemarie KosterUNKNOWN Health ABC study
May 26, 2011·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·Miranda E G ArmstrongUNKNOWN Million Women Study Collaborators
Sep 8, 2012·Current Opinion in Rheumatology·Jeremy D Walston
Dec 12, 2012·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·S TanakaM Shiraki
Dec 26, 2013·The Journal of Trauma and Acute Care Surgery·Michael DitilloBellal Joseph
Jul 1, 2014·Journal of Orthopaedic Trauma·John C WeinleinRobert F Murphy
Nov 2, 2014·Geriatric Orthopaedic Surgery & Rehabilitation·Christopher P MillerMichael P Leslie
Jul 22, 2015·International Orthopaedics·Vasanth SathiyakumarManish K Sethi
Mar 16, 2016·The Journal of Arthroplasty·Emmanouil LiodakisStephane G Bergeron
May 31, 2016·International Journal of Environmental Research and Public Health·Andrea PalermoSilvia Manfrini

❮ Previous
Next ❯

Citations

Mar 20, 2019·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Tianxiao MaZhanyong Wu
May 17, 2019·The Journal of Bone and Joint Surgery. American Volume·Karin ModigMargareta Hedström
Jun 13, 2019·Journal of the American Geriatrics Society·Tingting ZhangSarah D Berry
Dec 28, 2018·International Journal of Molecular Sciences·Gabriele RussowJohannes Keller
Sep 25, 2019·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Konstantinos G MakridisTheofilos S Karachalios
Oct 8, 2020·Journal of Orthopaedic Trauma·David NeillyUNKNOWN HEALTH Investigators
Mar 1, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Seyit Ali GümüştaşHüseyin Bilgehan Çevik
Nov 10, 2020·Journal of Orthopaedic Trauma·Yash P ChaudhryRobert S Sterling
Jul 3, 2021·Medicina·Nicolas VuilleminJohannes Dominik Bastian

❮ Previous
Next ❯

Methods Mentioned

BETA
total hip arthroplasty

Software Mentioned

SAS

Related Concepts

Related Feeds

Antipsychotic-Induced Weight Gain

Antipsychotic-induced weight gain (aiwg) is a common adverse effect of this treatment, particularly with second-generation antipsychotics, and it is a major health problem around the world. Here are the latest discoveries pertaining to AIWG.

Related Papers

Hand : Official Journal of the American Association for Hand Surgery
Elan J GolanJack Choueka
Critical Care and Resuscitation : Journal of the Australasian Academy of Critical Care Medicine
W Cheung
American Journal of Surgery
Olumayowa PitanKakra Hughes
Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
David C SingAlan L Zhang
© 2022 Meta ULC. All rights reserved