Outcomes and complications of total hip replacement in super-obese patients.

Détails

Ressource 1Télécharger: BIB_4280078789BC.P001.pdf (495.06 [Ko])
Etat: Serval
Version: Final published version
ID Serval
serval:BIB_4280078789BC
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Outcomes and complications of total hip replacement in super-obese patients.
Périodique
Bone and Joint Journal
Auteur(s)
Rajgopal R., Martin R., Howard J.L., Somerville L., MacDonald S.J., Bourne R.
ISSN
2049-4408 (Electronic)
Statut éditorial
Publié
Date de publication
2013
Volume
95-B
Numéro
6
Pages
758-763
Langue
anglais
Notes
Publication types: Comparative Study ; Journal ArticlePublication Status: ppublish
Résumé
The purpose of this study was to examine the complications and outcomes of total hip replacement (THR) in super-obese patients (body mass index (BMI) > 50 kg/m(2)) compared with class I obese (BMI 30 to 34.9 kg/m(2)) and normal-weight patients (BMI 18.5 to 24.9 kg/m(2)), as defined by the World Health Organization. A total of 39 THRs were performed in 30 super-obese patients with a mean age of 53 years (31 to 72), who were followed for a mean of 4.2 years (2.0 to 11.7). This group was matched with two cohorts of normal-weight and class I obese patients, each comprising 39 THRs in 39 patients. Statistical analysis was performed to determine differences among these groups with respect to complications and satisfaction based on the Western Ontario and McMaster Universities (WOMAC) osteoarthritis index, the Harris hip score (HHS) and the Short-Form (SF)-12 questionnaire. Super-obese patients experienced significantly longer hospital stays and higher rates of major complications and readmissions than normal-weight and class I obese patients. Although super-obese patients demonstrated reduced pre-operative and post-operative satisfaction scores, there was no significant difference in improvement, or change in the score, with respect to HHS or the WOMAC osteoarthritis index. Super-obese patients obtain similar satisfaction outcomes as class I obese and normal-weight patients with respect to improvement in their scores. However, they experience a significant increase in length of hospital stay and major complication and readmission rates.
Mots-clé
Adult, Aged, Arthroplasty, Replacement, Hip/methods, Body Mass Index, Female, Humans, Incidence, Length of Stay/trends, Male, Middle Aged, Obesity, Morbid/complications, Ontario/epidemiology, Osteoarthritis, Hip/complications, Osteoarthritis, Hip/surgery, Postoperative Complications/epidemiology, Prognosis, Retrospective Studies, Risk Factors, Surveys and Questionnaires, Treatment Outcome
Pubmed
Web of science
Création de la notice
19/01/2016 10:25
Dernière modification de la notice
03/03/2018 16:38
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