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Can foot and ankle surgeons accurately estimate patient body mass index?
Wagoner, Mathew R; Van, Jennifer C; Nolan, Christine K; Creech, Corine L; Cornell, Rhonda S; Meyr, Andrew J.
Afiliação
  • Wagoner MR; Resident, Temple University Hospital Podiatric Surgical Residency Program, Temple University Hospital, Philadelphia, PA.
  • Van JC; Resident, Temple University Hospital Podiatric Surgical Residency Program, Temple University Hospital, Philadelphia, PA.
  • Nolan CK; Resident, Temple University Hospital Podiatric Surgical Residency Program, Temple University Hospital, Philadelphia, PA.
  • Creech CL; Resident, Temple University Hospital Podiatric Surgical Residency Program, Temple University Hospital, Philadelphia, PA.
  • Cornell RS; Podiatric Surgeon, Private Practice, Foot Care Center, Havertown, PA.
  • Meyr AJ; Associate Professor, Department of Podiatric Surgery, Temple University School of Podiatric Medicine, Philadelphia, PA. Electronic address: ajmeyr@gmail.com.
J Foot Ankle Surg ; 53(1): 36-40, 2014.
Article em En | MEDLINE | ID: mdl-24239428
The body mass index (BMI) is an objective patient finding that has been established to have a negative effect on the development and outcomes of podiatric pathologic entities and interventions. The objective of the present investigation was to assess the ability of podiatric physicians to estimate the patient BMI from clinical and radiographic observation. For the clinical estimation of the patient BMI, podiatric specialists across 3 levels of experience (i.e., students, residents, and practicing clinicians) performed 294 estimations on 72 patients in 3 clinical situations (standing, sitting in a treatment chair, and lying in a hospital bed). It was more common to inaccurately estimate the patient BMI (77.9%) than it was to correctly estimate it (22.1%), with underestimations being the most common error (48.3%). The estimations were particularly inaccurate when the patients were in the common clinical situation of sitting in a treatment chair or lying in a hospital bed and with patients actually classified as obese. For the radiographic estimation of patient BMI, 150 consecutive lateral ankle radiographs were analyzed, with the ratio of the overlying soft tissue diameter to the underlying bone diameter calculated and compared. Positive, but weak, relationships were observed with these ratios. From these data, we have concluded that podiatric practitioners should perform an actual calculation of the patient BMI during the patient examination and medical decision-making process to fully appreciate the potential risks inherent to the treatment of obese patients.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Índice de Massa Corporal / Pé / Tornozelo / Obesidade Tipo de estudo: Diagnostic_studies / Prognostic_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: J Foot Ankle Surg Ano de publicação: 2014 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Índice de Massa Corporal / Pé / Tornozelo / Obesidade Tipo de estudo: Diagnostic_studies / Prognostic_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: J Foot Ankle Surg Ano de publicação: 2014 Tipo de documento: Article País de publicação: Estados Unidos