Obesity Is Associated with More Complications and Longer Hospital Stays after Orthopaedic Trauma

Journal of Orthopaedic Trauma

Volumn 29, Issue 11, 2015, Pages 504-509

  Childs, Benjamin R ^a   Nahm, Nickolas J ^a   Dolenc, Andrea J ^a   Vallier, Heather A ^a  

^a METROHEALTH MEDICAL CENTER   (United States)

Author keywords

BMI; complication; fixation; fracture; obesity

Indexed keywords

ACETABULUM FRACTURE; ACUTE KIDNEY FAILURE; ADULT; ADULT RESPIRATORY DISTRESS SYNDROME; ARTICLE; ARTIFICIAL VENTILATION; BODY MASS; CONTROLLED STUDY; DEEP VEIN THROMBOSIS; EMERGENCY HEALTH SERVICE; FEMALE; FEMUR FRACTURE; FRACTURE; FRACTURE FIXATION; FRACTURE NONUNION; HOSPITALIZATION; HUMAN; INFECTION; INJURY SCALE; INTENSIVE CARE UNIT; LENGTH OF STAY; LUNG EMBOLISM; MAJOR CLINICAL STUDY; MALE; MECHANICAL VENTILATOR; MEDICAL DEVICE COMPLICATION; MORTALITY; MULTIPLE ORGAN FAILURE; MULTIPLE TRAUMA; OBESITY; OBSERVATIONAL STUDY; ORTHOPEDIC SURGEON; ORTHOPEDIC SURGICAL EQUIPMENT; OUTCOME ASSESSMENT; PELVIS FRACTURE; PNEUMONIA; PRIORITY JOURNAL; PROSPECTIVE STUDY; PSEUDARTHROSIS; SEPSIS; SOFT TISSUE INFECTION; SPINE FRACTURE; THERAPY DELAY; COMORBIDITY; ECONOMICS; FRACTURES, BONE; MIDDLE AGED; POSTOPERATIVE COMPLICATIONS;

ADULT; COMORBIDITY; FEMALE; FRACTURES, BONE; HUMANS; LENGTH OF STAY; MALE; MIDDLE AGED; MULTIPLE TRAUMA; OBESITY; POSTOPERATIVE COMPLICATIONS; PROSPECTIVE STUDIES;

EID: 84944742322     PISSN: 08905339     EISSN: 15312291     Source Type: Journal    
DOI: 10.1097/BOT.0000000000000324     Document Type: Article

References (34)

1. Ogden CL, Carroll MD, Kit BK, et al. Prevalence of Obesity in the United States, 2009-2010. NCHS Data Brief, No 82. Hyattsville, MD: National Center for Health Statistics; 2012.
2. Centers for Disease Control and Prevention. Data about childhood obesity. Available at: http://www.cdc.gov/obesity/data/childhood.html. Accessed July 24, 2012.
3. Whitaker RC, Wright JA, Pepe MS, et al. Predicting obesity in young adulthood from childhood and parental obesity. N Engl J Med. 1997;37: 869-873.
4. Bochicchio GV, Joshi M, Bochicchio K, et al. Impact of obesity in the critically Ill trauma patient: A prospective study. J Am Coll Surg. 2006; 203:533-538.
5. Ciesla DJ, Moore EE, Johnson JL, et al. Obesity increases risk of organ failure after severe trauma. J Am Coll Surg. 2006;203:539-545.
6. Hoffmann M, Lefering R, Gruber-Rathmann M, et al. The impact of BMI on polytrauma outcome. Injury. 2012;43:184-188.
7. Neville AL, Brown CV, Weng J, et al. Obesity is an independent risk factor of mortality in severely injured blunt trauma patients. Arch Surg. 2004;139:983-987.
8. Brown CV, Neville AL, Rhee P, et al. The impact of obesity on the outcomes of 1,153 critically injured blunt trauma patients. J Trauma. 2005;59:1048-1051.
9. Byrnes MC, McDaniel MD, Moore MB, et al. The effect of obesity on outcomes among injured patients. J Trauma. 2005;58:232-237.
10. Mica L, Keller C, Vomela J, et al. Obesity and overweight as a risk factor for pneumonia in polytrauma patients: A retrospective cohort study. J Trauma Acute Care Surg. 2013;75:693-698.
11. Miller AN, Krieg JC, Routt MLC Jr. Lateral sacral imaging in the morbidly obese. J Orthop Trauma. 2013;27:e122-124.
12. Mendelsohn ES, Hoshino CM, Harris TL, et al. The effect of obesity on early failure after operative syndesmosis injuries. J Orthop Trauma. 2013;27:201-206.
13. Porter SE, Graves ML, Maples RA, et al. Acetabular fracture reductions in the obese patient. J Orthop Trauma. 2011;25:371-377.
14. Sems SA, Johnson M, Cole PA, et al. Elevated body mass index increases early complications of surgical treatment of pelvic ring injuries. J Orthop Trauma. 2010;24:309-314.
15. Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia. Am J Respir Crit Care Med. 2005;171:388-416.
16. Bernard GR, Artigas A, Brigham KL, et al. The American-European Consensus Conference on ARDS. Definitions, mechanisms, relevant outcomes, and clinical trial coordination. Am J Respir Crit Care Med. 1994; 149(3 pt 1):818-824.
17. Brown CV, Dubose JJ, Hadjizacharia P, et al. Natural history and outcomes of renal failure after trauma. J Am Coll Surg. 2008;206:426-431.
18. American College of Chest Physicians/Society of Critical Care Medicine Consensus Conference: definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. Crit Care Med. 1992;20:864-874.
19. Durham RM, Moran JJ, Mazuski JE, et al. Multiple organ failure in trauma patients. J Trauma. 2003;55:608-616.
20. Centers for Disease Control and Prevention. Data about adult obesity. Available at: http://www.cdc.gov/obesity/data/adult.html. Accessed July 24, 2012.
21. Mokdad AH, Serdula MK, Dietz WH, et al. The spread of the obesity epidemic in the United States, 1991-1998. JAMA. 1999;282:1519-1522.
22. Calle EE, Thun MJ, Petrelli JM, et al. Body-mass index and mortality in a prospective cohort of U.S. adults. N Engl J Med. 1999;341: 1097-1105.
23. Wang Y, Beydoun MA, Liang L, et al. Will all Americans become overweight or obese? Estimating the progression and cost of the US obesity epidemic. Obesity. 2008;16:2323-2330.
24. Rihn JA, Kurd M, Hilibrand AS, et al. The influence of obesity on the outcome of treatment of lumbar disc herniation. J Bone Joint Surg Am. 2013;95:1-8.
25. Baker P, Petheram T, Jameson S, et al. The association between body mass index and the outcomes of total knee arthroplasty. J Bone Joint Surg Am. 2012;94:1501-1508.
26. Downsey MM, Chong PF. Obesity is a major risk factor for prosthetic infection after primary hip arthroplasty. Clinic Orthop Relat Res. 2008; 466:153-158.
27. Malinzak RA, Ritter MA, Berend ME, et al. Morbidly obese, diabetic, younger, and unilateral joint arthroplasty patients have elevated total joint arthroplasty infection rate. J Arthroplasty. 2009;24(6 suppl):84-88.
28. Patel VP, Walsh M, Sehgal B, et al. Factors associated with prolonged wound drainage after primarily total hip and knee arthroplasty. J Bone Joint Surg Am. 2007;89:33-38.
29. Pulido L, Ghanem E, Joshi A, et al. Periprosthetic joint infection: The incidence, timing, and predisposing factors. Clin Orthop Relat Res. 2008; 466:170-175.
30. Sabharwal S, Root MZ. Impact of obesity on orthopaedics. J Bone Joint Surg Am. 2012;94:1045-1052.
31. Schwarzkopf R, Thompson SL, Adwar SJ, et al. Postoperative complication rates in the "super-obese" hip and knee arthroplasty population. J Arthroplasty. 2012;27:397-401.
32. Ditillo M, Pandit V, Rhee P, et al. Morbid obesity predisposes trauma patients to worse outcomes: A National Trauma Data Bank analysis. J Trauma Acute Care Surg. 2013;76:176-179.
33. Evans DC, Stawicki SP, Davido HT, et al. Obesity in trauma patients: correlations of body mass index with outcomes, injury patterns, and complications. Am Surg. 2011;77:1003-1008.
34. Dailey EA, Cizik A, Kasten J, et al. Risk factors for readmission of orthopaedic surgical patients. J Bone Joint Surg Am. 2013;95:1012-1019.