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- Cameron K Ledford, Ramon A Ruberte Thiele, J Stephen Appleton, Robert J Butler, Samuel S Wellman, David E Attarian, Robin M Queen, and Michael P Bolognesi.
- Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina.
- J Arthroplasty. 2014 Sep 1;29(9 Suppl):150-4.
AbstractUnderstanding 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.Copyright © 2014 Elsevier Inc. All rights reserved.
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