The Impact of BMI on Adult Blunt Trauma Outcomes
| Autor: | Jacqueline A Sanabria, Milad Modarresi, Thao T. Wolbert, Juan Sanabria, Rodrigo Aguilar, David Denning, Rahman Barry, Errington C. Thompson |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Adolescent Length of hospitalization Overweight Global Health Wounds Nonpenetrating Body Mass Index Young Adult 03 medical and health sciences 0302 clinical medicine Prevalence medicine Humans Obesity 030212 general & internal medicine Risk factor Aged business.industry Incidence Mortality rate Incidence (epidemiology) Accidents Traffic General Medicine Length of Stay Middle Aged medicine.disease United States Blunt trauma 030220 oncology & carcinogenesis Accidental Falls Female Level ii medicine.symptom business |
| Zdroj: | The American Surgeon. 85:1354-1362 |
| ISSN: | 1555-9823 0003-1348 |
| DOI: | 10.1177/000313481908501229 |
| Popis: | Traumatic injuries account for 10% of all mortalities in the United States. Globally, it is estimated that by the year 2030, 2.2 billion people will be overweight (BMI ≥ 25) and 1.1 billion people will be obese (BMI ≥ 30). Obesity is a known risk factor for suboptimal outcomes in trauma; however, the extent of this impact after blunt trauma remains to be determined. The incidence, prevalence, and mortality rates from blunt trauma by age, gender, cause, BMI, year, and geography were abstracted using datasets from 1) the Global Burden of Disease group 2) the United States Nationwide Inpatient Sample databank 3) two regional Level II trauma centers. Statistical analyses, correlations, and comparisons were made on a global, national, and state level using these databases to determine the impact of BMI on blunt trauma. The incidence of blunt trauma secondary to falls increased at global, national, and state levels during our study period from 1990 to 2015, with a corresponding increase in BMI at all levels ( P < 0.05). Mortality due to fall injuries was higher in obese patients at all levels ( P < 0.05). Analysis from Nationwide Inpatient Sample database demonstrated higher mortality rates for obese patients nationally, both after motor vehicle collisions and mechanical falls ( P < 0.05). In obese and nonobese patients, regional data demonstrated a higher blunt trauma mortality rate of 2.4% versus 1.2%, respectively ( P < 0.05) and a longer hospital length of stay of 4.13 versus 3.26 days, respectively ( P = 0.018). The obesity rate and incidence of blunt trauma secondary to falls are increasing, with a higher mortality rate and longer length of stay in obese blunt trauma patients. |
| Databáze: | OpenAIRE |
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