Sub-weight patients the most at risk of problems after full shoulder infection


LAS VEGAS, March 12, 2019 / PRNewswire / – Although surveys often identify obesity as a potential danger to complications following a comprehensive coalition of shoulder (TSA), few see results for patients who have been subjected to complications. too light. A survey published at the 2019 AGM of the American Orthopedic Act (AAOS) showed that sub-patients have an increased risk of serious disease and disease following their operation in any other body region. body, including the overweight.

“Often, the weight of the patient is very obscene or refused because of their weight,” he said Jonathan Grauer, MD, Professor and Interim Chair, Oopopics Department and Rehabilitation at Yale Medical School. In the past, literature has been said that in the majority of cases patients are too seriously ill to have serious consequences, however, more recently studies have started to show a more varied picture. many studies examine the impact of obesity on outcomes, sub-pressure patients often do not consider the other part of the BMI spectrum in these studies and are almost entirely represented. "

The review, "The Group's sub-group for the Risk Threats for Serious Adverse Incidents Events after Aopropiay Gualan Làn," looked at 15,725 patients receiving selected TSAs from the store. National Surgery Program of Excellence data. Patients were categorized in BMI categories by the World Health Organization: underweight (BMI <18.5 kg / m2), average weight (BMI of 18.5 to 24.9 kg / m2), excess weight (BMI 25.0 to 29.9 kg / m2). (b) fat, BMI (greater than 30.0 to 39.9 kg / m2), fat free (BMI greater than 40.0 to 49.9 kg / m2), and severe fat (BMI greater than 50.0 kg / m2). t .

The study found that sub-pressure patients were more likely to see a serious incident as a heart or major disease episode after complete surgery. Compared to average patients, sub-patients suffered more serious events within 30 days after their operation – 12.07 per cent compared with 3.82%. Underweight patients also 4.01 were more likely to be infected after work, 2.11 more likely to be admitted to hospital within 30 days following an operation and more likely to have had surgery revision.

“As we looked at the literature, we found that previous studies had brought together the patients in different ways – as they defined the boundaries of BMI obesity and then Putting patients in groups like fat or fat fat – and then running the analysis. said, he was different Taylor Ottesen, medical student, class 2020, t Yale Medical School. “Some surveys found that a BMI was over 35 years obese; however, someone with BMI of 35 is quite different from a person with a BMI of 55, but they are being grouped in the same group. more co-ordinator and so we decided to take the BMI parts of the World Health Organization and run their analysis based on the many walks of obesity series. "

When they ran the survey in this way, patients who were severely obese to fat were no more likely to see an uncertain incident (3.65 per cent vs. 3.82%), consistent with some of the most recent literatures. Furthermore, the lowest incidence of serious patient episodes of incidence was within six BMI categories (2.92 per cent) also shown in a number of general surgery papers.

The researchers decided that careful consideration should be given to when under-patients are under pressure for surgery, as are patients with obesity. In addition, obesity of the scale that should be assessed more carefully when we are discovering this eligibility.

2019 AAOS Annual General Meeting Balancing Letter

About AAOS
With over 39,000 members, the American Orthopedic Academy is the world's largest medical body in which the specialists have backbone. AAOS is the trusted leader in promoting spinal health. It provides the highest quality, comprehensive education to support orthopedic surgeons and health professionals involved at all levels of career treating patients in their daily routines. AAOS is the resource for bone and component treatment information, treatments and backbone health care issues and is described as the health care discussion guide on improvement in quality.

SOURCE American Academy of Orthoped Surgeons

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