TY - JOUR
T1 - Obesity in trauma
T2 - Outcomes and disposition trends
AU - Osborne, Zachary
AU - Rowitz, Blair
AU - Moore, Henry
AU - Oliphant, Uretz
AU - Butler, Joann
AU - Olson, Michelle
AU - Aucar, John
PY - 2014/3
Y1 - 2014/3
N2 - Background Obesity's effect on the outcomes of trauma patients remains inconclusive. Methods A retrospective review of all falls, motor vehicle collisions (MVCs), and penetrating trauma patients admitted from January 2008 to December 2012 was performed. The outcomes evaluated included mortality, length of stay at hospital, and discharge disposition. Patients were grouped according to the body mass index (BMI) and stratified by injury severity scores. Results Two thousand one hundred ninety six patients were analyzed; 132 penetrating, 913 falls, and 1,151 MVCs. Penetrating traumas had no significant difference in outcomes. In falls, obese patients had a lower mortality (P =.035). In MVCs, obese patients had longer hospitalizations (P =.02), and mild and moderate MVC injuries were less likely to be discharged home (P =.032 and.003). Obese patients sustained fewer head injuries in falls and MVCs (P =.005 and.043, respectively). Conclusions In falls, a higher BMI may benefit patients. However, an increasing BMI is associated with a longer length of stay at hospital, and decreased likelihood of discharge to home.
AB - Background Obesity's effect on the outcomes of trauma patients remains inconclusive. Methods A retrospective review of all falls, motor vehicle collisions (MVCs), and penetrating trauma patients admitted from January 2008 to December 2012 was performed. The outcomes evaluated included mortality, length of stay at hospital, and discharge disposition. Patients were grouped according to the body mass index (BMI) and stratified by injury severity scores. Results Two thousand one hundred ninety six patients were analyzed; 132 penetrating, 913 falls, and 1,151 MVCs. Penetrating traumas had no significant difference in outcomes. In falls, obese patients had a lower mortality (P =.035). In MVCs, obese patients had longer hospitalizations (P =.02), and mild and moderate MVC injuries were less likely to be discharged home (P =.032 and.003). Obese patients sustained fewer head injuries in falls and MVCs (P =.005 and.043, respectively). Conclusions In falls, a higher BMI may benefit patients. However, an increasing BMI is associated with a longer length of stay at hospital, and decreased likelihood of discharge to home.
KW - Blunt trauma
KW - Body mass index
KW - Fall
KW - Motor vehicle collision
KW - Obesity
KW - Wounds and injuries
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U2 - 10.1016/j.amjsurg.2013.10.013
DO - 10.1016/j.amjsurg.2013.10.013
M3 - Article
C2 - 24581763
AN - SCOPUS:84895467279
VL - 207
SP - 387
EP - 392
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 3
ER -