Predictors of farther mobilization on day of surgery and shorter length of stay after total joint arthroplasty

Background: Mobilization on the day of total joint arthroplasty (TJA) is associated with shorter length of stay. The question of whether incrementally farther mobilization on the day of surgery (POD0) contributes to shorter length of stay has not been widely studied. The purpose of this study was to determine if farther mobilization on POD0 led to shorter length of stay and to identify the predictors of farther mobilization and length of stay. Methods: A retrospective chart review was undertaken using data for patients who had a primary TJA and mobilized on POD0. Patients were categorized into the following 4 mobilization groups: sat on the bedside (Sat), stood by the bed or walked in place (Stood), walked in the room (Room) and walked in the hall (Hall). The primary outcome was length of stay. Predictors of farther mobilization on POD0 and length of stay were identified using regression analyses. Results: The sample comprised 283 patients. The Hall group had significantly shorter length of stay than all other groups. There were sex differences across the mobilization groups. Simultaneous regression analysis showed that farther mobilization was predicted by younger age, male sex, lower body mass index, spinal anesthesia and fewer symptoms limiting mobilization. Hierarchical regression showed that shorter length of stay was predicted by male sex, lower body mass index, lower American Society of Anaesthesiologists physical status classification score, less pain/stiffness and farther mobilization on POD0. Conclusion: Understanding the modifiable and nonmodifiable predictors of mobilization after TJA and length of stay can help identify patients more likely to mobilize farther on the day of surgery, which would contribute to better resource allocation and discharge planning. Focusing on symptom management could increase opportunities for farther mobilization on POD0 and thereby decrease length of stay.

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Response to Letter to the Editor on “Low Body Mass Index Is a Predictor for Mortality and Increased Length of Stay Following Total Joint Arthroplasty”

The Journal of Arthroplasty ◽

10.1016/j.arth.2021.03.012 ◽

2021 ◽

Vol 36 (7) ◽

pp. e65

Author(s):

Hany S. Bedair

Keyword(s):

Body Mass Index ◽

Length Of Stay ◽

Body Mass ◽

Total Joint Arthroplasty ◽

Joint Arthroplasty ◽

Letter To The Editor ◽

Low Body Mass Index

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Letter to the Editor on “Low Body Mass Index Is a Predictor for Mortality and Increased Length of Stay Following Total Joint Arthroplasty”

The Journal of Arthroplasty ◽

10.1016/j.arth.2021.03.014 ◽

2021 ◽

Vol 36 (7) ◽

pp. e63-e64

Author(s):

Aditya Kaushal ◽

Sandeep Patel ◽

Vishal Kumar ◽

Mandeep Singh Dhillon

Keyword(s):

Body Mass Index ◽

Length Of Stay ◽

Body Mass ◽

Total Joint Arthroplasty ◽

Joint Arthroplasty ◽

Letter To The Editor ◽

Low Body Mass Index

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Low Body Mass Index Is a Predictor for Mortality and Increased Length of Stay Following Total Joint Arthroplasty

The Journal of Arthroplasty ◽

10.1016/j.arth.2020.07.055 ◽

2021 ◽

Vol 36 (1) ◽

pp. 72-77

Author(s):

Akhil Katakam ◽

Christopher M. Melnic ◽

Charles R. Bragdon ◽

Nicholas Sauder ◽

Austin K. Collins ◽

...

Keyword(s):

Body Mass Index ◽

Length Of Stay ◽

Body Mass ◽

Total Joint Arthroplasty ◽

Joint Arthroplasty ◽

Low Body Mass Index

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Male Sex, Decreased Activity Level, and Higher BMI Associated With Lower Completion of Patient-Reported Outcome Measures Following ACL Reconstruction

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967118758602 ◽

2018 ◽

Vol 6 (3) ◽

pp. 232596711875860 ◽

Cited By ~ 3

Author(s):

Eric J. Cotter ◽

Charles P. Hannon ◽

Philip Locker ◽

Annabelle Davey ◽

Kevin C. Wang ◽

...

Keyword(s):

Body Mass Index ◽

Body Mass ◽

Patient Reported Outcome ◽

Activity Level ◽

Completion Rates ◽

Lower Body ◽

Time Points ◽

Lower Body Mass Index ◽

Patient Reported ◽

Male Sex

Background: Patient-reported outcome (PRO) surveys have become increasingly important in both improving patient care and assessing outcomes. Purpose/Hypothesis: The purpose of this study was to evaluate which variables are associated with compliance with completing PRO surveys in patients who have undergone anterior cruciate ligament reconstruction (ACLR). The authors hypothesized that older patient age and longer time since ACLR would be associated with lower completion rates of PRO surveys preoperatively and at postoperative time points. Study Design: Case series; Level of evidence, 4. Methods: All patients who underwent ACLR by a sports medicine fellowship–trained orthopaedic surgeon at a single institution and were electronically assigned PRO surveys through a data collection system preoperatively between December 2013 and March 2015 were included. Postoperatively, PRO surveys were sent to patients’ email addresses at 6, 12, and 24 months. Demographics, history, and operative and postoperative information were evaluated for an association with survey completion rates. Results: A total of 256 patients met the inclusion criteria. There were 140 (54.7%) male and 116 (45.3%) female patients, with an overall mean age of 28.6 ± 11.9 years. Only 19 (7.4%) patients completed all preoperative and postoperative surveys at all time points. Less than half of the patients (n = 104; 40.6%) completed both the preoperative survey and at least 1 postoperative survey. There was a steady decrease in the completion rate of PRO surveys postoperatively over time (Pearson r = –0.995, P = .005). Male patients had significantly worse compliance with completing PRO surveys preoperatively and at a minimum of 1 time point postoperatively ( P = .044). Patients who did not identify as athletes or report frequent exercise (≥3 times/wk) had significantly worse compliance with completing any PRO surveys ( P = .046). Lower body mass index was associated with greater odds of compliance with completing the preoperative survey and 24-month postoperative survey (odds ratio, 0.902; P = .029). Conclusion: An inverse relationship was found between the surgery-to-survey period and percentage of those completing PRO surveys, with poor overall compliance. Male sex and not self-identifying as an athlete or performing frequent physical exercise were associated with lower completion rates of PRO surveys, while lower body mass index was associated with a greater rate of completion.

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Association of the peroxisome proliferator-activated receptor-γ2 Pro12Ala but not the C1431T gene variants with lower body mass index in Type 2 diabetes

Journal of Endocrinological Investigation ◽

10.1007/bf03349241 ◽

2007 ◽

Vol 30 (11) ◽

pp. 937-943 ◽

Cited By ~ 11

Author(s):

M. Ben Hadj Mohamed ◽

N. Mtiraoui ◽

I. Ezzidi ◽

M. Chaieb ◽

T. Mahjoub ◽

...

Keyword(s):

Type 2 Diabetes ◽

Body Mass Index ◽

Body Mass ◽

Peroxisome Proliferator ◽

Gene Variants ◽

Lower Body ◽

Peroxisome Proliferator Activated Receptor ◽

Lower Body Mass Index

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Statistical Methods Dictate the Estimated Impact of Body Mass Index on Major and Minor Complications After Total Joint Arthroplasty

Clinical Orthopaedics and Related Research ◽

10.1097/corr.0000000000000493 ◽

2018 ◽

Vol 476 (12) ◽

pp. 2418-2429 ◽

Cited By ~ 6

Author(s):

Mary J. Kwasny ◽

Adam I. Edelstein ◽

David W. Manning

Keyword(s):

Body Mass Index ◽

Statistical Methods ◽

Body Mass ◽

Total Joint Arthroplasty ◽

Joint Arthroplasty

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Prevalence and correlates of suicidal ideation with dermatological morbidities

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20180118 ◽

2018 ◽

Vol 5 (2) ◽

pp. 550

Author(s):

Dharmvir Ranjan Bharati ◽

Seema Kumari ◽

Kranti Chand Jaykar ◽

Ajay Kumar ◽

Sanjay Kumar Choudhary ◽

...

Keyword(s):

Body Mass Index ◽

Suicidal Ideation ◽

Body Mass ◽

Skin Diseases ◽

Early Adulthood ◽

Large Family ◽

Lower Body ◽

Suicidal Tendency ◽

Lower Body Mass Index ◽

Lower Education

Background: The dermatologic consultation might be a precious opportunity to recognize and treat depression associated with suicidal ideation in these patients. This study aimed to find the prevalence of suicidal ideation among patients with dermatologic conditions, and identifying demographic variables of suicidal ideation. Methods: This institution based cross-sectional study was conducted during February to March 2017, at dermatological out-patients department of the teaching hospital Indira Gandhi Institute of Medical Sciences (IGIMS), Patna, India. Results: Of 396 adults with skin disease 272 (68.69%) were male. Prevalence of suicidal tendency was significantly more among young adults and higher in females (38.7%) than males (1.5%). In males, suicidal tendency was in patients suffering from tinea infection while among females, significantly more observed among patients suffering from tinea 38.71%, psoriasis 22.58% and chronic idiopathic urticaria 16.13%. The risk of suicidal tendency in males were significantly higher among 18–20 years, unemployed, belongs to smaller family, having lower body mass index and suffering from depression. While in females, suicidal tendency was significantly higher among early adulthood, not or lower education, unemployed, no personal income and vegetarian, belongs to large family, no family support, having lower body mass index and suffering from depression as well as suffering from some other medical comorbidity in addition to skin diseases. Conclusions: Risk correlates of suicidal ideation with skin diseases were early adulthood, lower education, unemployment with no personal income, vegetarian diet, large family, no family support, lower body mass index and suffering from depression and comorbidities.

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