Postoperative complications in underweight patients undergoing total hip arthroplasty: A comparative analysis to normal weight patients.

Zusmanovich, Mikhail; Kester, Benjamin; Feng, James; Schwarzkopf, Ran · J Orthop · 2018

retrospective_cohort · Level III

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Abstract

Underweight patients undergoing total hip arthroplasty have been largely overlooked. The purpose of this study was to evaluate their complications profiles compared to normal weight individuals. Patients were selected from the NSQIP database, matched, and arranged into 2 groups based on BMI. Complications were recorded and analyzed to determine differences in outcomes. Multivariate analysis demonstrated increased length of hospital stay (LOS) (p = 0.006) for underweight patients but failed to demonstrate higher rates of medical or surgical complications. There are no increased rates of infectious or medical complications in underweight patients undergoing THA. However, increased LOS was demonstrated.

Anatomy