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The Interaction of Obesity and Metabolic Syndrome in Determining Risk of Complication Following Total Joint Arthroplasty

The arthroplasty population is increasingly comorbid, and current quality improvement initiatives demand accurate risk stratification. Metabolic syndrome (MetS) has been identified as a risk factor for adverse events after arthroplasty; however, its interaction with obesity in contributing to risk i... Full description

Journal Title: The Journal of Arthroplasty September 2016, Vol.31(9), pp.192-196
Main Author: Edelstein, Adam I
Other Authors: Suleiman, Linda I , Alvarez, Andrew P , Sacotte, Ryan M , Qin, Charles D , Beal, Matthew D , Manning, David W
Format: Electronic Article Electronic Article
Language: English
Subjects:
BMI
ID: ISSN: 0883-5403 ; E-ISSN: 1532-8406 ; DOI: 10.1016/j.arth.2016.05.016
Link: https://www.sciencedirect.com/science/article/pii/S0883540316301541
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recordid: elsevier_sdoi_10_1016_j_arth_2016_05_016
title: The Interaction of Obesity and Metabolic Syndrome in Determining Risk of Complication Following Total Joint Arthroplasty
format: Article
creator:
  • Edelstein, Adam I
  • Suleiman, Linda I
  • Alvarez, Andrew P
  • Sacotte, Ryan M
  • Qin, Charles D
  • Beal, Matthew D
  • Manning, David W
subjects:
  • Obesity
  • Metabolic Syndrome
  • BMI
  • Complications
ispartof: The Journal of Arthroplasty, September 2016, Vol.31(9), pp.192-196
description: The arthroplasty population is increasingly comorbid, and current quality improvement initiatives demand accurate risk stratification. Metabolic syndrome (MetS) has been identified as a risk factor for adverse events after arthroplasty; however, its interaction with obesity in contributing to risk is unclear. A retrospective analysis of all Medicare patients undergoing total hip arthroplasty (THA) and total knee arthroplasty (TKA) at a single institution from 2009 to 2013 investigated the interaction between MetS, body mass index (BMI), and risk for Centers for Medicare and Medicaid Services (CMS)–reportable complications, readmission, and discharge disposition. A total of 1462 patients (942 TKA, 538 THA) were included, of which 16.2% had MetS. Regression analysis found that MetS was significantly related to risk of CMS complications (odds ratio [OR] = 1.96, 95% confidence interval [CI] 1.16-3.31,  = .012) and nonhome discharge...
language: eng
source:
identifier: ISSN: 0883-5403 ; E-ISSN: 1532-8406 ; DOI: 10.1016/j.arth.2016.05.016
fulltext: fulltext
issn:
  • 0883-5403
  • 08835403
  • 1532-8406
  • 15328406
url: Link


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titleThe Interaction of Obesity and Metabolic Syndrome in Determining Risk of Complication Following Total Joint Arthroplasty
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descriptionThe arthroplasty population is increasingly comorbid, and current quality improvement initiatives demand accurate risk stratification. Metabolic syndrome (MetS) has been identified as a risk factor for adverse events after arthroplasty; however, its interaction with obesity in contributing to risk is unclear. A retrospective analysis of all Medicare patients undergoing total hip arthroplasty (THA) and total knee arthroplasty (TKA) at a single institution from 2009 to 2013 investigated the interaction between MetS, body mass index (BMI), and risk for Centers for Medicare and Medicaid Services (CMS)–reportable complications, readmission, and discharge disposition. A total of 1462 patients (942 TKA, 538 THA) were included, of which 16.2% had MetS. Regression analysis found that MetS was significantly related to risk of CMS complications (odds ratio [OR] = 1.96, 95% confidence interval [CI] 1.16-3.31,  = .012) and nonhome discharge...
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