Percent body fat more associated with perioperative risks after total joint arthroplasty than body mass index
Abstract
Copyright © 2014 Elsevier Inc. All rights reserved.Understanding the impact of obesity
on elective total joint arthroplasty (TJA) remains critical. Perioperative outcomes
were reviewed in 316 patients undergoing primary TJA. Higher percent body fat (PBF)
was associated with postoperative blood transfusion, increased hospital length of
stay (LOS) >3 days, and discharge to an extended care facility while no significant
differences existed for BMI. Additionally, PBF of 43.5 was associated with a 2.4×
greater likelihood of blood transfusion, PBF of 36.5 with a 1.9× greater likelihood
for LOS >3 days, and PBF of 36.0 with a 1.4× greater likelihood for discharge to an
extended care facility. PBF may be a more effective measure than BMI to use in screening
for perioperative risks and acute outcomes associated with obese total joint patients.
Type
Journal articlePermalink
https://hdl.handle.net/10161/10291Published Version (Please cite this version)
10.1016/j.arth.2013.12.036Publication Info
(2014). Percent body fat more associated with perioperative risks after total joint arthroplasty
than body mass index. The Journal of arthroplasty, 29(9). pp. 150-154. 10.1016/j.arth.2013.12.036. Retrieved from https://hdl.handle.net/10161/10291.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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Show full item recordScholars@Duke
David Edward Attarian
Professor of Orthopaedic Surgery
Investigation of value based healthcare markets and transitions. Cost transparency
for patients and providers.Risk management and medicolegal aspects of orthopaedic
practice. Co-management and alignment relationships between clinicians and hospitals/
health systems in evolving healthcare markets. Clinical outcomes of total hip and
knee replacements (primary and revision surgeries, total joint infections, modern
bearing surfaces, gait mechanics and balance). Novel surgical
Michael Paul Bolognesi
Professor of Orthopaedic Surgery
As chief of the adult reconstruction service, the majority of my research effort has
been directed toward clinical outcomes, implant survivorship, functional recovery,
the biology of hip and knee arthritis and cost effectiveness.
Robert John Butler
Adjunct Associate Professor in the Department of Orthopaedic Surgery
Construction of standards for a functional testing continuum for ACL patients to optimize
durability and performance.Development of field expedient tests to predict musculoskeletal
injury. Predictors of the early presentation of knee osteoarthritis following a joint
injury.
Robin Marie Queen
Assistant Professor of Orthopaedic Surgery
This author no longer has a Scholars@Duke profile, so the information shown here reflects
their Duke status at the time this item was deposited.
Samuel S. Wellman
Associate Professor of Orthopaedic Surgery
My career has primarily focused on clinical care of hip and knee arthritis. I run
a busy Adult Reconstruction (hip and knee replacement) practice. I am also Chief
of the Orthopedic Surgery service at the Durham VA medical center. In these roles,
I work daily with orthopedic residents, and train them to manage these issues both
non-operatively and with surgery. I also mentor residents, fellows,and medical students
on their research projects, typically in collabora
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