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Patients with intertrochanteric hip fractures, high BMI likely to sustain systemic complications
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Recently published results showed patients with intertrochanteric hip fractures were more likely to sustain systemic complications, such as respiratory complications, electrolyte abnormalities and sepsis, if they had a BMI greater than 30 kg/m2.
Daniel S. Horwitz, MD, and colleagues documented descriptive data, injury characteristics, Orthopaedic Trauma Association (OTA) fracture classification and associated medical comorbidities of 1,078 patients who underwent surgical fixation of intertrochanteric hip fractures. Main outcome measures included patient and fracture characteristics, surgical duration, surgical delay, intraoperative and postoperative complications, inpatient mortality and length of stay.
Results showed 24% of patients had a BMI of 30 kg/m2 or greater. Researchers noted a significantly lower mean age among patients with a high BMI. According to results, patients who were obese also had a higher percentage of high-energy injuries, greater mean duration of surgery and longer mean length of stay compared to patients who were not obese.
Researchers found a significantly higher percentage of patients in the high-BMI group had overall complications, respiratory complications, electrolyte abnormalities and sepsis. Compared with patients who were and were not obese, results showed a higher rate of respiratory complications and would complications among patients with a BMI of 40 kg/m2 or greater. – by Casey Tingle
Disclosure: The researchers report no relevant financial disclosures.
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