Percent body fat more associated with perioperative risks after total joint arthroplasty than body mass index

dc.contributor.author

Ledford, Cameron K

dc.contributor.author

Ruberte Thiele, Ramon A

dc.contributor.author

Appleton, J Stephen

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Butler, Robert J

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Wellman, Samuel S

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Attarian, David E

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Queen, Robin M

dc.contributor.author

Bolognesi, Michael P

dc.date.accessioned

2015-07-14T23:18:40Z

dc.date.issued

2014-09-01

dc.description.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.

dc.identifier.eissn

1532-8406

dc.identifier.uri

https://hdl.handle.net/10161/10291

dc.publisher

Elsevier BV

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The Journal of arthroplasty

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10.1016/j.arth.2013.12.036

dc.title

Percent body fat more associated with perioperative risks after total joint arthroplasty than body mass index

dc.type

Journal article

duke.contributor.orcid

Bolognesi, Michael P|0000-0003-1414-6863

pubs.begin-page

150

pubs.end-page

154

pubs.issue

9

pubs.organisational-group

Clinical Science Departments

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Duke

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Orthopaedics

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School of Medicine

pubs.publication-status

Published

pubs.volume

29

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