title: Lower extremity arterial reconstruction in obese patients.
abstract: BACKGROUND
  Previous reports have noted that obese patients undergoing lower extremity arterial reconstruction have higher complication rates compared with nonobese patients. We evaluated the effect of obesity on outcomes following open infrainguinal arterial reconstruction on a national level.
  
  
  METHODS
  A query of the American College of Surgeons' National Surgical Quality Improvement Program Database was conducted to identify all adult patients who underwent open infrainguinal lower extremity arterial reconstruction from 2005 to 2009. Postoperative outcomes were analyzed in different body mass index groups.
  
  
  RESULTS
  Obese and morbidly obese patients had a higher risk of wound infection when compared with normal weight patients (odds ratios 2.1 and 2.7, P < .05). Obese patients had a lower mortality when compared with normal weight patients (odds ratio .83, P < .05).
  
  
  CONCLUSIONS
  Obesity was associated with an increase in wound infection after open lower extremity arterial reconstruction. Obesity, but not morbid obesity, was associated with decreased mortality.
authors: Department of Surgery, Howard University College of Medicine and Hospital, 2041 Georgia Avenue, #4B-04, Washington, DC 20060, USA.
authors: Olumayowa
authors: O
authors: Pitan
authors: Department of Surgery, Howard University College of Medicine and Hospital, 2041 Georgia Avenue, #4B-04, Washington, DC 20060, USA.
authors: Mark
authors: M
authors: Williams
authors: Department of Surgery, Howard University College of Medicine and Hospital, 2041 Georgia Avenue, #4B-04, Washington, DC 20060, USA.
authors: Augustine
authors: A
authors: Obirieze
authors: Department of Surgery, Howard University College of Medicine and Hospital, 2041 Georgia Avenue, #4B-04, Washington, DC 20060, USA.
authors: Daniel
authors: D
authors: Tran
authors: Department of Surgery, Howard University College of Medicine and Hospital, 2041 Georgia Avenue, #4B-04, Washington, DC 20060, USA.
authors: David
authors: D
authors: Rose
authors: Department of Surgery, Howard University College of Medicine and Hospital, 2041 Georgia Avenue, #4B-04, Washington, DC 20060, USA.
authors: Terrence
authors: T
authors: Fullum
authors: Department of Surgery, Howard University College of Medicine and Hospital, 2041 Georgia Avenue, #4B-04, Washington, DC 20060, USA.
authors: Edward
authors: E
authors: Cornwell
authors: Department of Surgery, Howard University College of Medicine and Hospital, 2041 Georgia Avenue, #4B-04, Washington, DC 20060, USA. Electronic address: kakra.hughes@howard.edu.
authors: Kakra
authors: K
authors: Hughes
mesh_terms: D000328:Adult; D000368:Aged; D001158:Arteries / Q000601:surgery; D005260:Female; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications*; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology*; D012189:Retrospective Studies; D014656:Vascular Surgical Procedures / Q000379:methods
keywords: Lower extremity revascularization; Obesity; Outcomes