Percent body fat more associated with perioperative risks after total joint arthroplasty than body mass index
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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.
Published Version (Please cite this version)10.1016/j.arth.2013.12.036
Publication InfoLedford, Cameron K; Ruberte Thiele, Ramon A; Appleton, J Stephen; Butler, Robert J; Wellman, Samuel S; Attarian, David E; ... Bolognesi, Michael P (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.
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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
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.
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.
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.
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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