THE EFFECT OF OBESITY ON INTRAOPERATIVE AND EARLY POSTOPERATIVE (IN HOSPITAL) COMPLICATIONS IN PATIENTS UNDERGOING TOTAL PROSTHESIS
Journal Title: Kocatepe Medical Journal - Year 2022, Vol 23, Issue 2
Abstract
OBJECTIVE: Due to the increase in both obesity and total knee prosthesis arthroplasty (TKA), the number of TKA applications in obese patients has increased in recent years. However, it is debatable whether obesity is a risk factor for the complications observed in TKA. The aim of this study is to investigate the effect of obesity on intraoperative and early postoperative (in hospital) complications in patients with TKA. MATERIAL AND METHODS: Patients were divided into 2 groups according to body mass index; Group 1: obese patients (Body mass index: BMI> 30 kg/m2), Group 2: non-obese patients (BMI≤30 kg/m2). Patient files were examined from 4 different perspectives (Demographic data, Preoperative features, Intraoperative features, Postoperative features). T-test was used in the analysis of parametric data, and Chi-square test was used in the analysis of non-parametric data. A value of P<0.05 was considered significant. RESULTS: There was no statistically significant difference between the obese and non-obese patients in respect of the length of hospital stay, the operation time, the tourniquet time, the number of blood transfusions, presence of ischemic heart disease, diabetes, ASA scores, local skin complications, and systemic complications such as deep vein thrombosis, sepsis, pulmonary embolism and mortality. However, a statistically significant difference was found in presence of hypertension, hypothyroidism, and obstructive sleep apnea in the obese group. CONCLUSIONS: There is no difference in terms of local and systemic complications in obese and non-obese patients undergoing TKA.
Authors and Affiliations
Bahattin TUNCALI, Hakan BOYA, Şükrü ARAÇ
MOLECULAR PATHWAYS THAT PLAY A ROLE IN THE PREECLAMPSIA PATHOPHYSIOLOGY
Preeclampsia (PE) is an obstetric disease seen in approximately 4-5% of pregnancies progressing with hypertension and urinary proteinuria. It may cause maternal and fetal complications. Despite numerous researches in the...
THE EFFECT OF FIBRINOGEN INFUSION APPLIED AFTER CARDIOPULMONARY BYPASS ON BLEEDING IN CORONARY ARTERY BYPASS GRAFT SURGERY: RETROSPECTIVE COMPARATIVE STUDY
OBJECTIVE: The effect of administered fibrinogen concentrates in reducing the risk of postoperative bleeding that remains a serious problem in open heart surgery is controversial. We aimed to present the effect of fibrin...
INVESTIGATION OF KNOWLEDGE, ATTITUDES, BEHAVIORS ABOUT OCCUPATIONAL HEALTH AND SAFETY OF MEDICAL SCHOOL STUDENTS AND RESEARCH ASSISTANT PHYSICIANS
OBJECTIVE: Employees' occupational health and safety knowledge levels and practices have an important place in reducing the risk of occupational accidents. In this study, it was aimed to examine the knowledge, attitudes...
CLINICAL COURSE AND PROGNOSIS OF RETINAL VEIN OCCLUSIONS SEEN IN THRACIAN REGION
OBJECTIVE: It was aimed to determine the general demographic characteristics, local and general factors affecting the final visual acuity and to compare the treatment options in patients with central retinal vein root oc...
HEMATOLOGICAL FINDINGS OF CHILDREN DIAGNOSED WITH COVID 19 AND THE DIAGNOSTIC ROLE OF HEMATOLOGICAL INDICES IN THE DIAGNOSIS OF COVID 19
OBJECTIVE: The coronavirus-2 (SARS-CoV-2) outbreak, reported in Wuhan, China at the end of 2019, has a clinical picture with acute respiratory failure, currently affecting more than 100 countries. In our study, evaluatio...