Obesity Is Associated With More Complications and Longer Hospital Stays After Orthopaedic Trauma

Journal of Orthopaedic Trauma
Benjamin R ChildsHeather A Vallier

Abstract

The objective of this study was to characterize relationships between obesity and initial hospital stay, including complications, in patients with multiple system trauma and surgically treated fractures. Prospective, observational. Level 1 trauma center. Three hundred seventy-six patients with an Injury Severity Score greater than 16 and mechanically unstable high-energy fractures of the femur, pelvic ring, acetabulum, or spine requiring stabilization. Data for obese (body mass index ≥ 30) versus nonobese patients included presence of pneumonia, deep vein thrombosis, pulmonary embolism, infection, organ failure, and mortality. Days in ICU and hospital, days on ventilator, transfusions, and surgical details were documented. Complications occurred more often in obese patients (38.0% vs. 28.4%, P = 0.03), with more acute renal failure (5.70% vs. 1.38%, P = 0.02) and infection (11.4% vs. 5.50%, P = 0.04). Days in ICU and mechanical ventilation times were longer for obese patients (7.06 vs. 5.25 days, P = 0.05 and 4.92 vs. 2.90 days, P = 0.007, respectively). Mean total hospital stay was also longer for obese patients (12.3 vs. 9.79 days, P = 0.009). No significant differences in rates of mortality, multiple organ failure, or pulmon...Continue Reading

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Citations

Apr 16, 2016·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Hang-Tsung LiuChing-Hua Hsieh
Dec 12, 2018·JBJS Reviews·Anna Cohen-RosenblumJames A Browne
Jan 27, 2018·Journal of Orthopaedic Trauma·Clay A SpitlerMatthew L Graves
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Feb 9, 2021·Geriatric Orthopaedic Surgery & Rehabilitation·Jaclyn KapilowMegan Sorich
Jun 23, 2018·The Orthopedic Clinics of North America·Clay A SpitlerPatrick F Bergin
Apr 20, 2021·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Peter N MittwedeIvan S Tarkin

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