Research Article
Underweight Patients Are the Greatest Risk Body Mass Index Group for 30-Day Perioperative Adverse Events After Total Shoulder ArthroplastyThese authors analyzed the spectrum of categories for body mass index (BMI) with 30-day perioperative adverse events after primary total shoulder arthroplasty (TSA) using the National Surgical Quality Improvement Program (NSQIP) databases from 2005 to 2016.
Underweight TSA patients (BMI , 18.5 kg/m2) had the greatest odds for multiple perioperative adverse events compared with any other BMI category. By multivariate analysis, underweight patients weremore likely to experience any adverse event (odds ratio [OR] = 2.22, P = 0.034), serious adverse events (OR = 3.18, P = 0.004), or have postoperative infections (OR = 2.77, P = 0.012) within 30 days when compared with normal-weight patients. No significant difference was observed in these complications for elevated BMI categories when compared with normal-weight patients.
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