Complications and 30-day mortality rate after hip fracture surgery in superobese patients
Journal of Orthopaedic Trauma May 31, 2021
Chaudhry YP, Rao SS, Puvanesarajah V, et al. - This study was intended to correlate rates of complications and death among super obese patients with those of patients in other body mass index (BMI) categories. Researchers distinguished >100,000 hip fracture surgeries performed from 2012 to 2018 using the National Surgical Quality Improvement Program database. Individuals were classified as underweight (BMI < 18.5), normal weight (BMI 18.5–24.9), overweight (BMI 25–29.9), obese (BMI 30–39.9), morbidly obese (BMI 40–49.9), or superobese (BMI ≥ 50). Researchers examined patient characteristics, surgical characteristics, and 30-day outcomes. In this study, 20% had major complications, 33% had minor complications, and 5.2% died within 30 days after surgery among 440 superobese patients. The results showed that in comparison with all other patients, superobese patients had significantly higher odds of major complications within 30 days after hip fracture surgery. In addition, this “obesity paradox” did not apply to superobese individuals.
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