title: Perioperative and acute care outcomes in morbidly obese patients with acetabular fractures at a Level 1 trauma center.
abstract: BACKGROUND
  Controversy exists regarding obesity-related injury severity and clinical outcomes after orthopedic trauma.
  
  
  OBJECTIVE
  The purposes of this study were to expand our understanding of the effect of morbid obesity on perioperative and acute care outcomes after acetabular fracture.
  
  
  METHODS
  This was a retrospective review of patients with acetabular fracture after trauma. Non-morbidly obese (BMI < 35 kg/m(2)) and morbidly obese (BMI ≥ 35 kg/m(2); N = 81). Injury severity scores and Glasgow Coma Scale scores (GCS) were collected. Perioperative and acute care outcomes were positioning and operative time, extra fractures, estimated blood loss, complications, hospital charges, ventilator days, transfusions, length of stay (LOS) and discharge destination. Positioning and operative times were longer in morbidly obese patients (p < 0.05). No other differences existed between groups.
  
  
  CONCLUSIONS
  Orthopedic trauma surgeons and care teams can expect similar acute care outcomes in morbidly obese and non-morbidly obese patients with acetabular fracture.
authors.affiliation: Department of Orthopaedics and Rehabilitation, Divisions of Orthopaedic Trauma and Research, Interdisciplinary Center for Musculoskeletal Training and Research, University of Florida, Gainesville, FL 32611, USA.
authors.forename: Heather K
authors.initials: HK
authors.lastname: Vincent
authors.affiliation: Department of Orthopaedics and Rehabilitation, Divisions of Orthopaedic Trauma and Research, Interdisciplinary Center for Musculoskeletal Training and Research, University of Florida, Gainesville, FL 32611, USA.
authors.forename: Edward
authors.initials: E
authors.lastname: Haupt
authors.affiliation: Department of Orthopaedics and Rehabilitation, Divisions of Orthopaedic Trauma and Research, Interdisciplinary Center for Musculoskeletal Training and Research, University of Florida, Gainesville, FL 32611, USA.
authors.forename: Sonya
authors.initials: S
authors.lastname: Tang
authors.affiliation: Department of Orthopaedics and Rehabilitation, Divisions of Orthopaedic Trauma and Research, Interdisciplinary Center for Musculoskeletal Training and Research, University of Florida, Gainesville, FL 32611, USA.
authors.forename: Adaeze
authors.initials: A
authors.lastname: Egwuatu
authors.affiliation: Department of Orthopaedics and Rehabilitation, Divisions of Orthopaedic Trauma and Research, Interdisciplinary Center for Musculoskeletal Training and Research, University of Florida, Gainesville, FL 32611, USA.
authors.forename: Richard
authors.initials: R
authors.lastname: Vlasak
authors.affiliation: Department of Orthopaedics and Rehabilitation, Divisions of Orthopaedic Trauma and Research, Interdisciplinary Center for Musculoskeletal Training and Research, University of Florida, Gainesville, FL 32611, USA.
authors.forename: MaryBeth
authors.initials: M
authors.lastname: Horodyski
authors.affiliation: Department of Orthopaedics and Rehabilitation, Divisions of Orthopaedic Trauma and Research, Interdisciplinary Center for Musculoskeletal Training and Research, University of Florida, Gainesville, FL 32611, USA.
authors.forename: Donna
authors.initials: D
authors.lastname: Carden
authors.affiliation: Department of Orthopaedics and Rehabilitation, Divisions of Orthopaedic Trauma and Research, Interdisciplinary Center for Musculoskeletal Training and Research, University of Florida, Gainesville, FL 32611, USA.
authors.forename: Kalia K
authors.initials: KK
authors.lastname: Sadisivan
keywords: Acetabular; Fracture; Obese; Outcomes; Trauma
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