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Table 5 Univariate analysis of postoperative outcomes in patients with BMI > 35 stratified by preoperative weight loss

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)

2.31 (0–116)

2.31 (0–116)

2.83 (0–12)

0.01

Operative Time (Range)

98.6 (0–948)

98.6 (0–948)

101.3 (31–272)

0.49

Discharge Destination

   

0.22

 Home

45,001 (82.6%)

44,922 (82.6%)

79 (76.7%)

 

 Non-Home

9,273 (17.0%)

9,250 (17.0%)

23 (22.3%)

 

 Unknown

217 (0.4%)

216 (0.4%)

1 (1.0%)

 

Return to OR

   

0.07

 Yes

1,559 (2.9%)

1,553 (2.9%)

6 (5.8%)

 

 No

52,932 (97.1%)

52,835 (97.1%)

97 (94.2%)

 

Still in Hospital after 30 days

   

0.82

 Yes

28 (0.1%)

28 (0.1%)

0 (0.0%)

 

 No

54,463 (99.9%)

54,360 (99.9%)

103 (100.0%)

 

Readmission

   

0.09

 Yes

2,368 (4.3%)

2,360 (4.3%)

8 (7.8%)

 

 No

52,123 (95.7%)

52,028 (95.7%)

95 (92.2%)

 

Superficial SSI

   

0.24

 Yes

707 (1.3%)

707 (1.3%)

0 (0.0%)

 

 No

53,784 (98.7%)

53,681 (98.7%)

103 (100.0%)

 

Deep SSI

   

0.43

 Yes

247 (0.5%)

246 (0.5%)

1 (1.0%)

 

 No

54,244 (99.5%)

54,142 (99.5%)

102 (99.0%)

 

Organ Space SSI

   

0.70

 Yes

361 (0.7%)

360 (0.7%)

1 (1.0%)

 

 No

54,130 (99.3%)

54,028 (99.3%)

102 (99.0%)

 

Wound Dehiscence

   

0.18

 Yes

151 (0.3%)

150 (0.3%)

1 (1.0%)

 

 No

54,340 (99.7%)

54,238 (99.7%)

102 (99.0%)

 

Pneumonia

   

0.17

 Yes

145 (0.3%)

144 (0.3%)

1 (1.0%)

 

 No

54,346 (99.7%)

54,244 (99.7%)

102 (99.0%)

 

Reintubation

   

0.68

 Yes

92 (0.2%)

92 (0.2%)

0 (0.0%)

 

 No

54,399 (99.8%)

54,296 (99.8%)

103 (100.0%)

 

Pulmonary Embolism

   

0.57

 Yes

170 (0.3%)

170 (0.3%)

0 (0.0%)

 

 No

54,321 (99.7%)

54,218 (99.7%)

103 (100.0%)

 

Failure to Wean

   

0.78

 Yes

40 (0.1%)

40 (0.1%)

0 (0.0%)

 

 No

54,451 (99.9%)

54,348 (99.9%)

103 (100.0%)

 

Progressive Renal Insufficiency

   

0.70

 Yes

78 (0.1%)

78 (0.1%)

0 (0.0%)

 

 No

54,413 (99.9%)

54,310 (99.9%)

103 (100.0%)

 

Acute Renal Failure

   

0.78

 Yes

43 (0.1%)

43 (0.1%)

0 (0.0%)

 

 No

54,448 (99.9%)

54,345 (99.9%)

103 (100.0%)

 

Urinary Tract Infection

   

0.30

 Yes

517 (0.9%)

515 (0.9%)

2 (1.9%)

 

 No

53,974 (99.1%)

53,873 (99.1%)

101 (98.1%)

 

CVA/Stroke

   

0.79

 Yes

39 (0.1%)

39 (0.1%)

0 (0.0%)

 

 No

54,452 (99.9%)

54,349 (99.9%)

103 (100.0%)

 

Cardiac Arrest

   

0.79

 Yes

42 (0.1%)

42 (0.1%)

0 (0.0%)

 

 No

54,449 (99.9%)

54,346 (99.9%)

103 (100.0%)

 

Myocardial Infarction

   

0.66

 Yes

101 (0.2%)

101 (0.2%)

0 (0.0%)

 

 No

54,390 (99.8%)

54,287 (99.8%)

103 (100.0%)

 

Bleeding Transfusion

   

0.001

 Yes

2,201 (4.0%)

2,190 (4.0%)

11 (10.7%)

 

 No

52,290 (96.0%)

52,198 (96.0%)

92 (89.3%)

 

Deep Venous Thrombosis

   

0.26

 Yes

180 (0.3%)

179 (0.3%)

1 (1.0%)

 

 No

54,311 (99.7%)

54,209 (99.7%)

102 (99.0%)

 

Sepsis

   

0.54

 Yes

203 (0.4%)

203 (0.4%)

0 (0.0%)

 

 No

54,288 (99.6%)

54,185 (99.6%)

103 (100.0%)

 

Septic Shock

   

<0.001

 Yes

41 (0.1%)

41 (0.1%)

0 (0.0%)

 

 No

54,450 (99.9%)

54,347 (99.9%)

103 (100.0%)

 

Any Medical Complication

   

0.01

 Yes

4,525 (8.3%)

4,509 (8.3%)

16 (15.5%)

 

 No

49,966 (91.7%)

49,879 (91.7%)

87 (84.5%)