Effects of Body Mass Index on Outcome Measures of the Patients with Penetrating Injuries; A Single Center Experience

Serio, Farris; Fujii, Quinn; Shah, Keval S V; McCague, Andrew

doi:10.29252/beat-060409

Cited by 6 publications

(32 citation statements)

References 6 publications

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“…The need for exploratory laparotomy was comparable between groups (92.3% vs. 93.1%, p = 0.487) (Table 3). There was no significant difference in the amount of packed red cell transfusion between groups (3.8 [1-9] vs. 3.0 [1][2][3][4][5][6][7][8], p = 0.712). Mortality was substantially higher in the obese group (4.2% vs. 6.5%, p = 0.010).…”

Section: Resultsmentioning

confidence: 99%

“…Mortality was substantially higher in the obese group (4.2% vs. 6.5%, p = 0.010). Hospital LOS and ventilator day were also significantly longer in patients with obesity (9 [6-14] vs. 9 [7][8][9][10][11][12][13][14][15][16], p < 0.001 and 3 [2][3][4] vs. 3 [2][3][4][5], p = 0.015, respectively). There was no difference in in-hospital complications, except for a higher incidence of pneumonia for the patients with obesity (1.7% vs. 3.5%, p = 0.005).…”

Section: Resultsmentioning

confidence: 99%

“…These studies also included injuries to all body regions. [5][6][7] For the abdomen specifically, there is some data on stab wounds. Bloom et al 10 performed a retrospective review of the impact of BMI for stab wounds to the abdomen.…”

Section: Discussionmentioning

confidence: 99%

“…6 There are few studies examining the effect of obesity in penetrating trauma, especially gunshot wounds (GSW). 7 In patients with obesity, the thickness of subcutaneous fat may act as a protective factor for intraabdominal organ injuries, with a lower rate of peritoneal violation. The purpose of this study is to identify the impact of obesity on the injury demographics and outcomes for trauma patients who have sustained a GSW.…”

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confidence: 99%

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Impact of obesity on outcomes after abdominal gunshot injury

Owattanapanich

Lewis

Schellenberg

et al. 2021

J Trauma Acute Care Surg

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BACKGROUND:The impact of obesity, on outcomes after a gunshot wound, remains unclear. We hypothesized that patients with obesity have a higher burden of intraabdominal injuries after gunshot injury when compared with the nonobese population. METHODS:The Trauma Quality Improvement Program database (2013-2017) was queried for all patients age ≥16 with abdominal gunshot injuries. Patients who died in the emergency department (ED), arrived without signs of life, had Abbreviated Injury Scale score ≥ 3 in any other region, or transferred from an outside hospital were excluded. The patient with obesity was defined by a body mass index ≥ 30. Demographics, injury data, and outcomes were abstracted and analyzed. Patients with obesity were compared to those with a body mass index < 30. Multivariate logistical regression was used to compare mortality between groups. RESULTS: Of 34,138 patients with gunshot injuries, there were 2,616 (7.7%) with isolated abdominal injuries. Median age is 29 years (22-39 years), 86.7% men. Eight hundred twenty-seven (31.6%) were obese. The obese group was significantly older (32 [25-42] vs. 27 [22-37]; p < 0.001) with a higher incidence of hypertension (16.8% vs. 6.3%, p < 0.001) and diabetes mellitus (7.1% vs. 2.3%, p < 0.001). There was no difference in presenting vital signs, abdominal Abbreviated Injury Scale or Injury Severity Score between groups. The rate of superficial injuries and intraabdominal organ injuries were comparable between groups. Patients with obesity had significantly higher mortality (6.5% vs. 4.2%, p = 0.010), hospital length of stay (9 [7-16] vs. 9[6-14], p < 0.001), ventilator days (3 [2-5] vs. 3 [2-4], p = 0.015), and hospital-acquired pneumonia (3.5% vs. 1.7%, p = 0.005). On multivariate analysis, in addition to older age (odds ratio [OR], 1.050; p < 0.001), ED hypotension (OR, 3.192; p < 0.001), and ED tachycardia (OR, 3.714; p < 0.001), obesity was significantly associated with mortality (OR, 1.636; p = 0.021). CONCLUSION:Patients with obesity are at a high risk of mortality after abdominal gunshot injury. Further prospective evaluation is warranted.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Impact of obesity on outcomes after abdominal gunshot injury

Owattanapanich

Lewis

Schellenberg

et al. 2021

J Trauma Acute Care Surg

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“…Violent events and penetrating traumas are more common in men [9,10]. There were %86.2 men among the patients in our study.In previous studies,the male ratio was reported to be higher [11,12]. The aim of this study is to investigate the epidemiological and demographic features of penetrating traumas with a multidisciplinary approach, which can significantly decrease mortality and even morbidity.…”

Section: Introductionmentioning

confidence: 98%

Untitled

2019

RJLBPCS

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Penetrating traumas may cause high rates of morbidity and mortality among all traumas.The aim of this study is to investigate the epidemiological and demographic features of penetrating traumas with a multidisciplinary approach, which can significantly decrease mortality and even morbidity. Materials and Methods: Between January 2017 and December 2017, 210 patients who presented to the emergency department due to penetrating trauma were reviewed retrospectively. For statistical analysis, NCSS (Number Cruncher Statistical System) 2007 (Kaysville, Utah, USA) program was used. Significance was evaluated at least p <0.05. Results: A total of 210 patients were included in the study. There were % 86.2 men among the patients. The emergency service cost in patients who suffered from gunshot wounds was higher than the patients who suffered from penetrating stab wounds (p=0,023; p<0,05).It was seen that the patients who were came to the emergency service with gunshot wounds hospitalized longer than the other types of trauma patients in the emergency room (p=0,006; p<0,01). A significant direct correlation was found between the duration of emergency room stay and the application of procedures such as invasive intervention, radiology requests, laboratory requests, consultation (p=0,001; p<0,01). Conclusion:Penetrating traumas can often be fatal. As a result, penetrating traumas are frequently encountered in emergency services and with good management, the mortality and morbidity can be reduced in these types of traumas. We believe that more comprehensive multidisciplinary studies in terms of patient population will contribute to emergency service penetrating trauma management planning.

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