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Level of obesity is directly associated with complications following arthroscopic rotator cuff repair.
Kashanchi, Kevin I; Nazemi, Alireza K; Komatsu, David E; Wang, Edward D.
Afiliación
  • Kashanchi KI; Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA.
  • Nazemi AK; Department of Orthopaedics, Stony Brook University, Stony Brook, NY, USA.
  • Komatsu DE; Department of Orthopaedics, Stony Brook University, Stony Brook, NY, USA.
  • Wang ED; Department of Orthopaedics, Stony Brook University, Stony Brook, NY, USA. Electronic address: Edward.Wang@stonybrookmedicine.edu.
J Shoulder Elbow Surg ; 30(7): 1581-1587, 2021 Jul.
Article en En | MEDLINE | ID: mdl-33536124
ABSTRACT

BACKGROUND:

The purpose of this study was to investigate the association between increasing levels of obesity and postoperative complications within 30 days of arthroscopic rotator cuff repair (ARCR).

METHODS:

We queried the American College of Surgeons National Surgical Quality Improvement Program database for all patients who underwent ARCR from 2015 to 2017. Patients were stratified into 3 cohorts according to their body mass index (BMI). Patients with a BMI < 30 kg/m2 were placed in the non-obese cohort, patients with a BMI between 30 and 40 kg/m2 were placed in the obese cohort, and patients with a BMI > 40 kg/m2 were placed in the morbidly obese cohort. Postoperative complications within 30 days of the procedure were collected. Multivariate logistic regression was used to investigate the relationship between increasing levels of obesity and postoperative complications.

RESULTS:

There were 18,521 patients included in this study. Of these patients, 9548 (51.6%) were non-obese, 7438 (40.2%) were obese, and 1535 (8.3%) were morbidly obese. A comparison among non-obese, obese, and morbidly obese patients showed increasing rates of medical complications (0.5% vs. 1.0% vs. 1.4%), pulmonary complications (0.1% vs. 0.3% vs. 0.5%), renal complications (0.0% vs. 0.1% vs. 0.2%), readmission (0.9% vs. 1.2% vs. 1.6%), nonhome discharge (0.4% vs. 0.5% vs. 1.2%), and overall complications (0.8% vs. 1.3% vs. 1.8%). In comparison to non-obesity, both obesity and morbid obesity were identified by multivariate analysis as significant predictors of medical complications (odds ratio [ORs] of 1.72 and 2.16, respectively), pulmonary complications (ORs of 2.66 and 4.06, respectively), and overall complications (ORs of 1.52 and 1.77, respectively).

CONCLUSION:

This study used a large national database to identify increasing levels of obesity as a risk factor for medical complications, pulmonary complications, and overall complications within 30 days of ARCR.
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Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Obesidad Mórbida Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: J Shoulder Elbow Surg Asunto de la revista: ORTOPEDIA Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Obesidad Mórbida Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: J Shoulder Elbow Surg Asunto de la revista: ORTOPEDIA Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos