دورية أكاديمية
Effect of body mass index on patient outcomes of surgical intervention for the lumbar spine.
| العنوان: | Effect of body mass index on patient outcomes of surgical intervention for the lumbar spine. |
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| المؤلفون: | Flippin M; Southern California Permanente Medical Group, Kaiser Permanente, San Diego, CA, USA., Harris J; Surgical Outcomes and Analysis, Kaiser Permanente, San Diego, CA, USA., Paxton EW; Surgical Outcomes and Analysis, Kaiser Permanente, San Diego, CA, USA., Prentice HA; Surgical Outcomes and Analysis, Kaiser Permanente, San Diego, CA, USA., Fithian DC; Southern California Permanente Medical Group, Kaiser Permanente, San Diego, CA, USA., Ward SR; Departments of Orthopaedic Surgery, Radiology, and Bioengineering, University of California San Diego, San Diego, CA, USA., Gombatto SP; Doctor of Physical Therapy Program, School of Exercise and Nutritional Sciences, San Diego State University, San Diego, CA, USA. |
| المصدر: | Journal of spine surgery (Hong Kong) [J Spine Surg] 2017 Sep; Vol. 3 (3), pp. 349-357. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: OSS Press Ltd Country of Publication: China NLM ID: 101685460 Publication Model: Print Cited Medium: Print ISSN: 2414-469X (Print) Linking ISSN: 24144630 NLM ISO Abbreviation: J Spine Surg Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Hong Kong : OSS Press Ltd, [2015]- |
| مستخلص: | Background: Conflicting findings exist on the effect of obesity on outcomes of lumbar spine surgery; results depend on the diagnosis studied, procedure evaluated, definition of obesity, and specific outcomes measured. The purpose of this retrospective cohort study is to examine the effect of increasing body mass index (BMI) on surgical-related, health-related, and long-term outcomes of lumbar spine surgery in a single representative patient sample. Methods: Using a surgical registry from an integrated health care system, 8,049 instrumented lumbar spine cases were identified between 1/1/2009 and 09/30/2013. The sample was stratified into five BMI categories. Outcomes of interest included: (I) surgical-related factors and complications; (II) health-related complications; and (III) long-term complications. Mixed linear models, conditional logistic regressions, and survival analysis using a Cox regression model were conducted controlling for surgeon effects. Age, gender, diabetes status, smoking status, admitting diagnosis, and surgical approach were included as covariates. Results: Every 5 kg/m 2 increase in BMI was associated with a significant increase in surgical time (7.8 minutes), estimated blood loss (EBL) (36.5 mL), risk of deep infection (OR =1.7 times), and deep vein thrombosis (DVT) (OR =1.5). BMI was not associated with increased incidence of other intraoperative or health-related complications. Rate of re-operation was 1.1 times higher with every 5 kg/m 2 increase in BMI, but rate of re-operation due to adjacent segment disease (ASD) was not associated with BMI. Conclusions: Obesity had an adverse effect on certain surgical-related, health-related and long-term surgical outcomes. The magnitude of this effect increased with increasing levels of obesity, which increases the medical burden associated with obesity. Competing Interests: Conflicts of Interest: The authors have no conflicts of interest to declare. |
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| فهرسة مساهمة: | Keywords: Orthopedic procedures; lumbosacral region; obesity; spine |
| تواريخ الأحداث: | Date Created: 20171024 Latest Revision: 20231112 |
| رمز التحديث: | 20231112 |
| مُعرف محوري في PubMed: | PMC5637189 |
| DOI: | 10.21037/jss.2017.06.15 |
| PMID: | 29057342 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2414-469X |
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| DOI: | 10.21037/jss.2017.06.15 |