Study on Morbid obesity linked to increased complications among patients with femoral shaft fractures.
Through the years, Morbid Obesity has significantly risen throughout the world and rates have continued to rise rapidly. Last 2008 the World Health Organization reports that approximately 1.5 billion adults (greater than 20 years of age) were overweight and 500 million were obese on the basis of global estimates. In 2010 it was estimated that 6.6% of the American population or about 15.5 million adult Americans had an actual BMI over 40. It is concluded in numerous orthopaedic studies that the burden of obesity has significant effect on variety of outcome measures including risk of infection, non-union, cost and implant failure. The Journal of Orthopaedic Trauma also published that according to findings, morbid obesity may be a significant risk factor for systemic complications in patients with closed femoral shaft fractures.
To further understand the said case, a Study was conducted which had the main objective of determining if Morbid Obesity has increased morbidity and mortality rate amongst patients with reamed intramedullary nailing of closed femoral …show more content…
No difference was seen upon comparing complications between normal-weight, overweight and obese patients. While systemic complications occurred in 23% of morbidly obese patients compared to only 9% of normal weight patients. This was given the odds ratio (OR) = 3.15, P=0.013. Odds of adult respiratory syndrome also increased for patients with morbid obesity (OR = 35.38, P = 0.019), along with sepsis (OR = 6.49, P = 0.0015). Mortality rate is also significantly increased for morbidly obese patients. Showing a mortality of 10% for patients with morbid obesity and a subset of polytraumatized patients (Injury Severity Score > 17) had a higher mortality rate of
Through the years, Morbid Obesity has significantly risen throughout the world and rates have continued to rise rapidly. Last 2008 the World Health Organization reports that approximately 1.5 billion adults (greater than 20 years of age) were overweight and 500 million were obese on the basis of global estimates. In 2010 it was estimated that 6.6% of the American population or about 15.5 million adult Americans had an actual BMI over 40. It is concluded in numerous orthopaedic studies that the burden of obesity has significant effect on variety of outcome measures including risk of infection, non-union, cost and implant failure. The Journal of Orthopaedic Trauma also published that according to findings, morbid obesity may be a significant risk factor for systemic complications in patients with closed femoral shaft fractures.
To further understand the said case, a Study was conducted which had the main objective of determining if Morbid Obesity has increased morbidity and mortality rate amongst patients with reamed intramedullary nailing of closed femoral …show more content…
No difference was seen upon comparing complications between normal-weight, overweight and obese patients. While systemic complications occurred in 23% of morbidly obese patients compared to only 9% of normal weight patients. This was given the odds ratio (OR) = 3.15, P=0.013. Odds of adult respiratory syndrome also increased for patients with morbid obesity (OR = 35.38, P = 0.019), along with sepsis (OR = 6.49, P = 0.0015). Mortality rate is also significantly increased for morbidly obese patients. Showing a mortality of 10% for patients with morbid obesity and a subset of polytraumatized patients (Injury Severity Score > 17) had a higher mortality rate of