Analysis of Mortality in Traumatically Injured Patients Based on Body Mass Index and Mechanism Reveals Highest Mortality among the Underweight in Comparison with the Ideal Weight Patients
| Autor: | Karen Safcsak, Indermeet S Bhullar, Kevin Treto, David J. Chesire |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
business.industry Significant difference nutritional and metabolic diseases 030208 emergency & critical care medicine General Medicine medicine.disease Obesity 03 medical and health sciences 0302 clinical medicine Blunt trauma 030220 oncology & carcinogenesis Internal medicine Ideal weight Medicine Injury Severity Score Underweight medicine.symptom business Body mass index Penetrating trauma |
| Zdroj: | The American Surgeon. 83:341-347 |
| ISSN: | 1555-9823 0003-1348 |
| Popis: | The purpose of this study was to evaluate the effect of body mass index (BMI) on mortality after traumatic injury. The records of patients from 2012 to 2015 were retrospectively reviewed. The patients were stratified into the following groups based on admission BMI (kg/m2): underweight (UW) (BMI 40). The groups were well matched with no significant differences in demographics and Injury Severity Score. Morality for the IW group was compared with the remaining BMI groups. A total of 6049 patients were identified. In comparison with IW group, the UW mortality was significantly higher (IW vs UW, 4.1% vs 8.8%, P = 0.001); however, the there was no significant difference with remaining groups. There was also no significant difference in mortality between IW and the remaining groups for patients that went directly to the operating room or for patients that had penetrating trauma (stab wounds and gunshot wounds). However, for blunt trauma, the mortality was significantly higher for UW (IW vs UW, 4.3% vs 9.4%, P = 0.001), no different for IW vs OW (4.3% vs 3.7%, P = 0.3), and significantly lower for IW vs OB (4.3% vs 2.8%, P = 0.04) and for IW vs MO (4.3% vs 1.0%, P = 0.03). After traumatic injuries, it is the underweight patients (BMI |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|