The Effect of Obesity and Increasing Age on Operative Time and Length of Stay in Primary Hip and Knee Arthroplasty

被引：65

作者：

Bradley, Ben M. ^{[1
]}

Griffiths, Shelly N. ^{[1
]}

Stewart, Kyle J. ^{[1
]}

Higgins, Gordon A. ^{[1
]}

Hockings, Michael ^{[1
]}

Isaac, David L. ^{[1
]}

机构：

[1] South Devon Hosp NHS Trust, Torbay Hosp, Dept Trauma Orthopaed, Torquay, Devon, England

来源：

JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 10期

关键词：

obesity; hip and knee arthroplasty; financial cost; length of stay; theatre time; BODY-MASS INDEX; INPATIENT REHABILITATION OUTCOMES; HOSPITAL RESOURCE USE; REPLACEMENT; OSTEOARTHRITIS; IMPACT; LIFE;

D O I：

10.1016/j.arth.2014.06.002

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

We retrospectively reviewed 589 patients undergoing lower-limb arthroplasty, recording age, body mass index (BMI) and co-morbidities. The effect of these on operative duration and length of stay (LOS) was analysed. For a 1 point increase in BMI we expect LOS to increase by a factor of 2.9% and mean theatre time to increase by 1.46 minutes. For a 1-year increase in age, we expect LOS to increase by a factor of 1.2%. We have calculated the extra financial costs associated. The current reimbursement system underestimates the financial impact of BMI and age. The results have been used to produce a chart that allows prediction of LOS following lower limb arthroplasty based on BMI and age. These data are of use in planning operating lists. (c) 2014 Elsevier Inc. All rghts reserved.

引用

页码：1906 / 1910

页数：5

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