Trauma and BMI Mortality

被引:14
作者
Brahmbhatt, Tejal S. [1 ]
Hernon, Michael [1 ]
Siegert, Charles Jeffrey [1 ]
Plauche, Lenee [1 ]
Young, Lorrie S. [2 ]
Burke, Peter [1 ]
机构
[1] Boston Univ, Sch Med, 840 Harrison Ave,Dowling 2 South, Boston, MA 02118 USA
[2] Boston Med Ctr, Med, 717 Albany St, Boston, MA 02118 USA
关键词
Obesity; Comorbid condition; Trauma; BMI; Morbidity; Mortality; SELECTIVE NONOPERATIVE MANAGEMENT; BODY-MASS INDEX; BLUNT TRAUMA; RISK-FACTOR; OBESITY INCREASES; SHAFT FRACTURES; OUTCOMES; COMPLICATIONS; IMPACT; INJURY;
D O I
10.1007/s13679-017-0264-9
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Obesity has been recognized as an impactful comorbid condition. It has been demonstrated to be an independent risk factor for morbidity and mortality following trauma. Multiple studies and reviews have strongly suggested obesity to be associated with increased risk for post-injury morbidity and mortality. As obesity is associated with a pro-inflammatory state, it has been suggested to negatively affect the respiratory, cardiovascular, coagulation, and renal systems and the ability and manner in which an obese patient heals. As obesity continues to rise at alarming rates in the USA, this population of patients requires special consideration and continued research is underway to delineate relationships between obesity, trauma, and outcomes in an effort to improve overall care.
引用
收藏
页码:211 / 216
页数:6
相关论文
共 37 条
[1]   Effect of obesity on intensive care morbidity and mortality: A meta-analysis [J].
Akinnusi, Morohunfolu E. ;
Pineda, Lilibeth A. ;
El Solh, Ali A. .
CRITICAL CARE MEDICINE, 2008, 36 (01) :151-158
[2]  
Alban RF, 2006, AM SURGEON, V72, P966
[3]   The cushion effect [J].
Arbabi, S ;
Wahl, WL ;
Hemmila, MR ;
Kohoyda-Inglis, C ;
Taheri, PA ;
Wang, SC .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2003, 54 (06) :1090-1093
[4]   INJURY SEVERITY SCORE - METHOD FOR DESCRIBING PATIENTS WITH MULTIPLE INJURIES AND EVALUATING EMERGENCY CARE [J].
BAKER, SP ;
ONEILL, B ;
HADDON, W ;
LONG, WB .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1974, 14 (03) :187-196
[5]   Current management of penetrating torso trauma: nontherapeutic is not good enough anymore [J].
Ball, Chad G. .
CANADIAN JOURNAL OF SURGERY, 2014, 57 (02) :E36-E43
[6]   Impact of body mass index on injury in abdominal stab wounds: implications for management [J].
Bloom, Matthew B. ;
Ley, Eric J. ;
Liou, Douglas Z. ;
Tri Tran ;
Chung, Rex ;
Melo, Nicolas ;
Margulies, Daniel R. .
JOURNAL OF SURGICAL RESEARCH, 2015, 197 (01) :162-166
[7]   Impact of obesity in the critically ill trauma patient: A prospective study [J].
Bochicchio, Grant V. ;
Joshi, Manjari ;
Bochicchio, Kelly ;
Nehman, Shelly ;
Tracy, J. Kathleen ;
Scalea, Thomas M. .
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2006, 203 (04) :533-538
[8]   BODY HABITUS AS A PREDICTOR OF INJURY PATTERN AFTER BLUNT TRAUMA [J].
BOULANGER, BR ;
MILZMAN, D ;
MITCHELL, K ;
RODRIGUEZ, A .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1992, 33 (02) :228-232
[9]   The impact of obesity on the outcomes of 1,153 critically injured blunt trauma patients [J].
Brown, CVR ;
Neville, AL ;
Rhee, P ;
Salim, A ;
Velmahos, GC ;
Demetriades, D .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2005, 59 (05) :1048-1051
[10]   Obesity is associated with increased postoperative complications after operative management of tibial shaft fractures [J].
Burrus, M. Tyrrell ;
Werner, Brian C. ;
Yarboro, Seth R. .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2016, 47 (02) :465-470