The impact of pre-operative weight loss on incidence of surgical site infection and readmission rates after total joint arthroplasty.
J Arthroplasty
; 29(3): 458-64.e1, 2014 Mar.
Article
in En
| MEDLINE
| ID: mdl-24018161
ABSTRACT
This study characterized a cohort of obese total hip arthroplasty (THA) and total knee arthroplasty (TKA) patients (1/1/2008-12/31/2010) and evaluated whether a clinically significant amount of pre-operative weight loss (5% decrease in body weight) is associated with a decreased risk of surgical site infections (SSI) and readmissions post-surgery. 10,718 TKAs and 4066 THAs were identified. During the one year pre-TKA 7.6% of patients gained weight, 12.4% lost weight, and 79.9% remained the same. In the one year pre-THA, 6.3% of patients gained weight, 18.0% lost weight, and 75.7% remained the same. In TKAs and THAs, after adjusting for covariates, the risk of SSI and readmission was not significantly different in the patients who gained or lost weight pre-operatively compared to those who remained the same.
Key words
Full text:
1
Database:
MEDLINE
Main subject:
Surgical Wound Infection
/
Weight Loss
/
Arthroplasty, Replacement, Hip
/
Arthroplasty, Replacement, Knee
/
Joint Diseases
Type of study:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
America do norte
Language:
En
Journal:
J Arthroplasty
Journal subject:
ORTOPEDIA
Year:
2014
Type:
Article