Obese trauma patients who sustain orthopaedic fractures experience increased length of stay, ICU admissions and mortality

Southam, Brendan R.; Bowers, Katherine; Smidt, Kevin P.; Altaye, Mekibib; Archdeacon, Michael T.; Avilucea, Frank R.

doi:10.17352/ojt.000024

Cited by 1 publication

(2 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…15 Despite the debate on the effects of obesity on fracture risk, many studies have found that obese patients experience more complications during and after surgical fracture repair. [16][17][18][19] Radius fractures are the most frequent long bone fractures, and forearm fractures have an annual incidence of over 640,000 in the United States. 20,21 Distal radius fractures (DRFs) are especially common, and usually result from a fall onto an outstretched, pronated hand.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Effect of Obesity on Distal Radius Fractures: An Analysis from the NSQIP Database

Gonuguntla,

Ghali,

Prabhakar

et al. 2023

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

The rate and severity of obesity has risen over the past 40 years, and class III (formerly morbid) obesity presents additional sequelae. The effect of obesity on the incidence and recovery of hand and wrist fractures remains unclear. We sought to quantify the relationship between class III obesity and postoperative distal radius fracture (DRF) complications. Methods: We performed a retrospective analysis of the American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP) database for surgical DRF patients more than 50 years old from 2015 to 2020. We then stratified patients into class III obese (BMI > 40) and compared the rates of postoperative complications to a control group with BMI less than 40. Results: We included 10,022 patients (570 class III obese vs. 9,452 not class III obese). Patients with class III obesity had significantly increased odds of experiencing any complication (OR 1.906, p<0.001), adverse discharge (OR 2.618, p<0.001), delayed hospital stay of longer than three days (OR 1.91, p<0.001), and longer than seven days (OR 2.943, p<0.001) than controls. They also had increased odds of unplanned reoperation (OR 2.138, p = 0.026) and readmission (OR 2.814, p < 0.001) than non-class III obese patients. Class III obese patients had a significantly longer average operation time (79.5 min vs. 72.2 min, p < 0.001). They also spent more time in the hospital postoperatively (0.86 days vs. 0.57 days, p = 0.001). Conclusion: Class III obese patients undergoing DRF repair are more likely to experience postoperative complications than non-class III obese patients.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Effect of Obesity on Distal Radius Fractures: An Analysis from the NSQIP Database

Gonuguntla,

Ghali,

Prabhakar

et al. 2023

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

show abstract

Obese trauma patients who sustain orthopaedic fractures experience increased length of stay, ICU admissions and mortality

Abstract: M, et al. (2020) Obese trauma patients who sustain orthopaedic fractures experience increased length of stay, ICU admissions and mortality. Open J Trauma 4(1): 004-011. DOI: https://dx.

Cited by 1 publication

References 49 publications

The Effect of Obesity on Distal Radius Fractures: An Analysis from the NSQIP Database

The Effect of Obesity on Distal Radius Fractures: An Analysis from the NSQIP Database

Contact Info

Product

Resources

About