Perioperative and acute care outcomes in morbidly obese patients with acetabular fractures at a Level 1 trauma center

Obese trauma patients who sustain orthopaedic fractures experience increased length of stay, ICU admissions and mortality

“…Consistent with previous studies, obese patients who sustained fractures were found to be signifi cantly more likely to have increased hospital lengths of stay [6,7,23,[25][26][27][28], more frequent admissions to the ICU and longer associated lengths of stay in the ICU [6,13,28,29]. Furthermore, after adjusting for The authors noted that the study was underpowered to detect a statistical difference between these two groups in terms of pulmonary complications, multiple organ failure and mortality [6].…”

Association of Injury Factors, Not Body Mass Index, With Hospital Resource Usage in Trauma Patients

“…They concluded that orthopedic trauma teams can expect similar outcomes regardless of BMI in patients with acetabular fractures. 30 Dhungel et 44 determined that hospital length of stay, ICU length of stay, and duration of mechanical ventilation did not differ significantly between normal weight, overweight, obese, and morbidly obese patients. In addition, studies 5,25,45 have indicated that with adjustments for ISS, BMI is not a significant factor in determining mortality.…”

“…Vincent et al 30 assessed differences in hospital resource utilization in terms of acute care length of stay, units of blood transfused, number of days of mechanical ventilation, and hospital charges between non-morbidly obese and morbidly obese patients and found no differences. BMI was not related to hospital resource usage, and ISS was highly predictive of length of stay and hospital charges.…”

“…However, we found that within all populations (nonobese, obese, and morbidly obese), the number of physiological complications influenced ICU length of stay and number of procedures. In contrast to many researchers who investigated hospital resource usage as a single outcome (eg, total hospital length of stay, ICU length of stay), 3,7,[9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27]30 we used canonical correlation analyses to examine the complex relationship between patient/injury characteristics and the multifaceted nature of hospital resources.…”

“…29 In previous research on the effect of a patient's BMI on resource usage, each usage outcome was assessed independently of other resource usage variables. In those studies, 3,7,[9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27]30 resource usage was evaluated as a secondary outcome by using familiar statistical analyses (t test, analysis of variance, regression analysis) suitable for the research questions. However, in order to best ascertain the association between the complex, multifaceted relationship of patient/ injury characteristics and hospital resource usage, the use of multivariate canonical correlation analyses is suggested.…”