OBJECTIVE: This study aims to assess the effect of obesity on injury severity score (ISS), mortality and course of hospital stay among trauma patients. METHOD: A systematic review of the literature was conducted by Internet search. Data were extracted from included studies and analysed using a random-effects model to compare outcomes in the obese (body mass index (BMI)≥30kgm(-2)) with the non-obese (BMI<30kgm(-2)) group. RESULT: Eventually, 18 studies met our inclusion criteria with 7751 obese patients representing 17% of the pooled study population. The data revealed that obesity was associated with increased risk of mortality, longer stay in the intensive care unit and higher rates of complication. Additionally, obese patients seemed to have longer duration of mechanical ventilation and hospital length of stay but it did not reach statistical significance. No difference was observed in ISS between the two groups. CONCLUSION: Evidence strongly supports the correlation of obesity with worse prognosis in trauma patients and further studies should target this kind of population for therapy and prevention.
OBJECTIVE: This study aims to assess the effect of obesity on injury severity score (ISS), mortality and course of hospital stay among traumapatients. METHOD: A systematic review of the literature was conducted by Internet search. Data were extracted from included studies and analysed using a random-effects model to compare outcomes in the obese (body mass index (BMI)≥30kgm(-2)) with the non-obese (BMI<30kgm(-2)) group. RESULT: Eventually, 18 studies met our inclusion criteria with 7751 obesepatients representing 17% of the pooled study population. The data revealed that obesity was associated with increased risk of mortality, longer stay in the intensive care unit and higher rates of complication. Additionally, obesepatients seemed to have longer duration of mechanical ventilation and hospital length of stay but it did not reach statistical significance. No difference was observed in ISS between the two groups. CONCLUSION: Evidence strongly supports the correlation of obesity with worse prognosis in traumapatients and further studies should target this kind of population for therapy and prevention.
Authors: Jason M Samuels; Ernest E Moore; Julia R Coleman; Joshua J Sumislawski; Mitchell J Cohen; Christopher C Silliman; Anirban Banerjee; Arsen Ghasabyan; James Chandler; Angela Sauaia Journal: J Trauma Acute Care Surg Date: 2019-10 Impact factor: 3.313
Authors: Ahmed Farhat; Areg Grigorian; Ninh T Nguyen; Brian Smith; Barbara J Williams; Sebastian D Schubl; Victor Joe; Dawn Elfenbein; Jeffry Nahmias Journal: Eur J Trauma Emerg Surg Date: 2019-05-20 Impact factor: 3.693
Authors: Balázs Poros; Thomas Irlbeck; Philipp Probst; Alexander Volkmann; Philipp Paprottka; Wolfgang Böcker; Michael Irlbeck; Thomas Weig Journal: Eur J Trauma Emerg Surg Date: 2019-11-19 Impact factor: 3.693
Authors: Lusha Xiang; Michael S Thompson; John S Clemmer; Peter N Mittwede; Tazim Khan; Robert L Hester Journal: Am J Physiol Regul Integr Comp Physiol Date: 2019-02-27 Impact factor: 3.619
Authors: Felicia N Williams; Paula D Strassle; Laquanda Knowlin; Sonia Napravnik; David van Duin; Anthony Charles; Rabia Nizamani; Samuel W Jones; Bruce A Cairns Journal: World J Surg Date: 2019-12 Impact factor: 3.352
Authors: Heather K Vincent; Edward Haupt; Sonya Tang; Adaeze Egwuatu; Richard Vlasak; MaryBeth Horodyski; Donna Carden; Kalia K Sadisivan Journal: J Orthop Date: 2014-05-10