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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 10,
1316-1320.
doi: 10.1302/0301-620X.88B10.17957 Copyright © 2006 by British Editorial Society of Bone and Joint Surgery The impact of tobacco use and body mass index on the length of stay in hospital and the risk of post-operative complications among patients undergoing total hip replacementO. Sadr Azodi, MD student, PhD student1; R. Bellocco, Sc.D, Professor2; K. Eriksson, MD, PhD, Orthopaedic Surgeon3; and J. Adami, MD, Master of Public Health, PhD, Associate Professor1
1 Department of Medicine, Clinical Epidemiology Unit, Karolinska University Hospital Solna, 171 76 Stockholm, Sweden. Correspondence should be sent to Dr O. Sadr Azodi; e-mail: sayed-omid.sadrazodi{at}ki.se
We carried out a retrospective cohort study of 3309 patients undergoing primary total hip replacement to examine the impact of tobacco use and body mass index on the length of stay in hospital and the risk of short term post-operative complications. Heavy tobacco use was associated with an increased risk of systemic post-operative complications (p = 0.004). Previous and current smokers had a 43% and 56% increased risk of systemic complications, respectively, when compared with non-smokers. In heavy smokers, the risk increased by 121%. A high body mass index was significantly associated with an increased mean length of stay in hospital of between 4.7% and 7%. The risk of systemic complications was increased by 58% in the obese. Smoking and body mass index were not significantly related to the development of local complications. Greater efforts should be taken to reduce the impact of preventable life style factors, such as smoking and high body mass index, on the post-operative course of total hip replacement. This article has been cited by other articles:
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