The Influence of Muscle Weakness on the Association Between Obesity and Inpatient Recovery From Total Hip Arthroplasty

Autor: E. Oosting, Reinier Akkermans, Thomas J. Hoogeboom, Nico L. U. van Meeteren, Marlieke Visser, Jaap Dronkers
Přispěvatelé: Epidemiologie, Promovendi PHPC, RS: CAPHRI - R3 - Functioning, Participating and Rehabilitation
Rok vydání: 2017
Předmět:
Male
SURGERY
Arthroplasty
Replacement
Hip
medicine.medical_treatment
Walking
Grip strength
0302 clinical medicine
Odds Ratio
TOTAL JOINT ARTHROPLASTY
Orthopedics and Sports Medicine
030212 general & internal medicine
Prospective cohort study
hip arthroplasty
Aged
80 and over
030222 orthopedics
Muscle Weakness
Rehabilitation
Hand Strength
risk assessment
Middle Aged
Patient Discharge
REPLACEMENT
Anesthesia
Female
medicine.symptom
medicine.medical_specialty
body mass index
Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18]
03 medical and health sciences
length of stay
Hand strength
medicine
Humans
Sarcopenic obesity
SARCOPENIC OBESITY
Obesity
OLDER-ADULTS
Aged
HAND GRIP STRENGTH
Inpatients
SURGICAL OUTCOMES
business.industry
Muscle weakness
Recovery of Function
Odds ratio
PERFORMANCE
medicine.disease
BODY-MASS INDEX
PROSPECTIVE COHORT
Physical therapy
muscle strength
business
Body mass index
Zdroj: Journal of Arthroplasty, 32, 1918-1922
Journal of Arthroplasty, 32(6), 1918-1922. Churchill Livingstone Medical Publishers
Journal of Arthroplasty, 32, 6, pp. 1918-1922
ISSN: 1918-1922
0883-5403
Popis: Item does not contain fulltext BACKGROUND: There is ongoing discussion about whether preoperative obesity is negatively associated with inpatient outcomes of total hip arthroplasty (THA). The aim was to investigate the interaction between obesity and muscle strength and the association with postoperative inpatient recovery after THA. METHODS: Preoperative obesity (body mass index [BMI] >30 kg/m2) and muscle weakness (hand grip strength 2 days to reach independence of walking) and prolonged length of hospital stay (LOS, >4 days and/or discharge to extended rehabilitation). Univariate and multivariable regression analyses with the independent variables muscle weakness and obesity, and the interaction between obesity and muscle weakness, were performed and corrected for possible confounders. RESULTS: Two hundred and ninety-seven patients were included, 54 (18%) of whom were obese and 21 (7%) who also had muscle weakness. Obesity was not significantly associated with prolonged LOS (odds ratio [OR] 1.36, 95% confidence interval [CI] 0.75-2.47) or prolonged recovery of activities (OR 1.77, 95% CI 0.98-3.22), but the combination of obesity and weakness was significantly associated with prolonged LOS (OR 3.59, 95% CI 1.09-11.89) and prolonged recovery of activities (OR 6.21, 95% CI 1.64-23.65). CONCLUSION: Obesity is associated with inpatient recovery after THA only in patients with muscle weakness. The results of this study suggest that we should measure muscle strength in addition to BMI (or body composition) to identify patients at risk of prolonged LOS.
Databáze: OpenAIRE
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