From: Preoperative weight loss before total hip arthroplasty negatively impacts postoperative outcomes
Outcome | Total Sample | No Weight Loss | Weight Loss | P-value |
---|---|---|---|---|
Length of Stay (Days from Operation to Discharge) (Range) | 2.24 (0–116) | 2.23 (0–116) | 3.62 (0–67) | <0.001 |
Operative Time (Range) | 91.4 (0–1387) | 91.4 (0–1387) | 92.0 (3–300) | 0.73 |
Discharge Destination | <0.001 | |||
Home | 222,683 (83.8%) | 222,339 (83.9%) | 344 (60.6%) | |
Non-Home | 41,602 (15.7%) | 41,395 (15.6%) | 207 (36.4%) | |
Unknown | 1,372 (0.5%) | 1,355 (0.5%) | 17 (3.0%) | |
Return to OR | 0.001 | |||
Yes | 5,052 (1.9%) | 5,030 (1.9%) | 22 (3.9%) | |
No | 260,605 (98.1%) | 260,059 (98.1%) | 546 (96.1%) | |
Still in Hospital after 30 days | 0.002 | |||
Yes | 145 (0.1%) | 143 (0.1%) | 2 (0.3%) | |
No | 265,512 (99.9%) | 264,946 (99.9%) | 566 (99.7%) | |
Readmission | <0.001 | |||
Yes | 8,990 (3.4%) | 8,941 (3.4%) | 49 (8.6%) | |
No | 256,667 (96.6%) | 256,148 (96.6%) | 519 (91.4%) | |
Superficial SSI | 0.65 | |||
Yes | 1,827 (0.7%) | 1,824 (0.7%) | 3 (0.5%) | |
No | 263,830 (99.3%) | 263,265 (99.3%) | 565 (99.5%) | |
Deep SSI | 0.10 | |||
Yes | 559 (0.2%) | 556 (0.2%) | 3 (0.5%) | |
No | 265,098 (99.8%) | 264,533 (99.8%) | 565 (99.5%) | |
Organ Space SSI | 0.09 | |||
Yes | 817 (0.3%) | 813 (0.3%) | 4 (0.7%) | |
No | 264,840 (99.7%) | 264,276 (99.7%) | 564 (99.3%) | |
Wound Dehiscence | 0.15 | |||
Yes | 355 (0.1%) | 353 (0.1%) | 2 (0.3%) | |
No | 265,302 (99.9%) | 264,736 (99.9%) | 566 (99.7%) | |
Pneumonia | <0.001 | |||
Yes | 899 (0.3%) | 881 (0.3%) | 18 (3.2%) | |
No | 264,758 (99.7%) | 264,208 (99.7%) | 550 (96.8%) | |
Reintubation | <0.001 | |||
Yes | 396 (0.1%) | 388 (0.1%) | 8 (1.4%) | |
No | 265,261 (99.9%) | 264,701 (99.9%) | 560 (98.6%) | |
Pulmonary Embolism | 0.66 | |||
Yes | 688 (0.3%) | 686 (0.3%) | 2 (0.3%) | |
No | 264,969 (99.7%) | 264,403 (99.7%) | 566 (99.7%) | |
Failure to Wean | <0.001 | |||
Yes | 159 (0.1%) | 154 (0.1%) | 5 (0.9%) | |
No | 265,498 (99.9%) | 264,935 (99.9%) | 563 (99.1%) | |
Progressive Renal Insufficiency | <0.001 | |||
Yes | 235 (0.1%) | 232 (0.1%) | 3 (0.5%) | |
No | 265,422 (99.9%) | 264,857 (99.9%) | 565 (99.5%) | |
Acute Renal Failure | 0.18 | |||
Yes | 132 (0.1%) | 131 (0.1%) | 1 (0.2%) | |
No | 265,525 (99.9%) | 264,958 (99.9%) | 567 (99.8%) | |
Urinary Tract Infection | 0.001 | |||
Yes | 2,260 (0.9%) | 2,248 (0.9%) | 12 (2.1%) | |
No | 263,397 (99.1%) | 262,841 (99.1%) | 556 (97.9%) | |
CVA/Stroke | 0.52 | |||
Yes | 247 (0.1%) | 246 (0.1%) | 1 (0.2%) | |
No | 265,410 (99.9%) | 264,843 (99.9%) | 567 (99.8%) | |
Cardiac Arrest | <0.001 | |||
Yes | 228 (0.1%) | 225 (0.1%) | 3 (0.5%) | |
No | 265,429 (99.9%) | 264,864 (99.9%) | 565 (99.5%) | |
Myocardial Infarction | 0.002 | |||
Yes | 629 (0.2%) | 624 (0.2%) | 5 (0.9%) | |
No | 265,028 (99.8%) | 264,465 (99.8%) | 563 (99.1%) | |
Bleeding Transfusion | <0.001 | |||
Yes | 13,484 (5.1%) | 13,398 (5.1%) | 86 (15.1%) | |
No | 252,173 (94.9%) | 251,691 (94.9%) | 482 (84.9%) | |
Deep Venous Thrombosis | 0.39 | |||
Yes | 862 (0.3%) | 859 (0.3%) | 3 (0.5%) | |
No | 264,795 (99.7%) | 264,230 (99.7%) | 565 (99.5%) | |
Sepsis | <0.001 | |||
Yes | 622 (0.2%) | 616 (0.2%) | 6 (1.1%) | |
No | 265,035 (99.8%) | 264,473 (99.8%) | 562 (98.9%) | |
Septic Shock | <0.001 | |||
Yes | 169 (0.1%) | 163 (0.1%) | 6 (1.1%) | |
No | 265,488 (99.9%) | 264,926 (99.9%) | 562 (98.9%) | |
Any Medical Complication | <0.001 | |||
Yes | 21,311 (8.0%) | 21,188 (8.0%) | 123 (21.7%) | |
No | 244,346 (92.0%) | 243,901 (92.0%) | 445 (78.3%) |