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The Impact of Body Mass Index on Patient Reported Outcome Measures (PROMs) and Complications Following Primary Hip Arthroplasty

Lookup NU author(s): Paul Baker, Professor David Deehan, Michael Reed

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Abstract

Influence of BMI upon patient outcomes and complications following THA was examined across a national cohort of patients. Outcomes were compared by BMI groups (19.0-29.9 kg/m(2) [reference], 30.0-34.9 kg/m(2) [obese class I], 35.0 kg/m(2) + [obese class II/III]), adjusted for case-mix differences. Obese class I patients had a significantly smaller improvement in OHS (18.9 versus 20.5, P < 0.001) and a greater risk of wound complications (odds ratio [OR] = 1.57, P = 0.006). For obese class II/III patients, there were significantly smaller improvements in OHS and EQ-5D index (P < 0.001), and greater risk of wound complications (P = 0.006), readmission (P = 0.001) and reoperation (P = 0.003). Large improvements in patient outcomes were seen irrespective of BMI, although improvements were marginally smaller and complication rates higher in obese patients. (c) 2014 Elsevier Inc. All rights reserved.

Publication metadata

Author(s): Jameson SS, Mason JM, Baker PN, Elson DW, Deehan DJ, Reed MR

Publication type: Article

Publication status: Published

Journal: Journal of Arthroplasty

Year: 2014

Volume: 29

Issue: 10

Pages: 1889-1898

Print publication date: 01/10/2014

Online publication date: 02/06/2014

Acceptance date: 22/05/2014

ISSN (print): 0883-5403

ISSN (electronic): 1532-8406

Publisher: Churchill Livingstone

URL: http://dx.doi.org/10.1016/j.arth.2014.05.019

DOI: 10.1016/j.arth.2014.05.019

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