Comparison of obese and non-obese patients in terms of sharp object injuries: A retrospective evaluation

Talih, Tutkun; Topal, Uğur; Sözüer, Erdoğan; Dal, Fatih

doi:10.5455/annalsmedres.2020.05.436

Cited by 1 publication

(14 citation statements)

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“…26 No description of the local protocol was provided in the remainder of studies. 22,[25][26][27] Pooled data from six studies demonstrated no significant difference in both nonsignificant injuries and successful nonoperative management in obese compared with nonobese patients sustaining stab injuries (Figs. 2A and B).…”

Section: Outcome 1: Rate Of Nonsignificant Injurymentioning

confidence: 99%

“…One more used computed tomography 26 . No description of the local protocol was provided in the remainder of studies 22,25–27 …”

Section: Outcome 1: Rate Of Nonsignificant Injurymentioning

confidence: 99%

“…Nine studies were included for quantitative analysis with a total of 5,013 patients that sustained penetrating injuries, of which 1,484 (29.6%) patients were obese. [20][21][22][23][24][25][26][27][28] The sample size in the studies ranged from 78 to 2,616 patients. All studies were of observational cohort design and investigated an adult population.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Seven studies reported rates of nonsignificant injuries. [21][22][23][24][25][26][27] Local guidelines for recruitment to nonoperative management was varied across institutions. Two studies used a combination of local wound exploration, serial abdominal examination and laparoscopy.…”

Section: Outcome 1: Rate Of Nonsignificant Injurymentioning

confidence: 99%

“…2A and B). [21][22][23][24]26,27 Significantly greater rates of nontherapeutic operations were demonstrated to be performed in the obese population following stab injuries (OR, 1.80; 95% CI, 1.21-2.67; p = 0.004; Fig. 2C).…”

Section: Outcome 1: Rate Of Nonsignificant Injurymentioning

confidence: 99%

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“The armor phenomenon” in obese patients with penetrating thoracoabdominal injuries: A systematic review and meta-analysis

Chen

Lee

Hsu

et al. 2022

J Trauma Acute Care Surg

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BACKGROUND:Obesity represents a growing global health threat, which generally portends increased morbidity and mortality in the context of traumatic injuries. We hypothesized that there may exist a protective effect related to increased weight and truncal girth provided for obese patients in penetrating torso injuries, although this may not exert a significant positive impact overall upon clinical outcomes. METHODS:A comprehensive review of the literature was conducted across five databases up to March 2021 (Medline, Pubmed, Embase, Web of Science and the Cochrane library) to examine the effect of obesity on penetrating thoracoabdominal injuries. The primary outcome was to determine the rate of nonsignificant injury and injury patterns. Secondary outcomes examined were lengths of stay, complications, and mortality. Comparisons were drawn by meta-analysis. The study protocol was registered with PROSPERO under CRD42020216277. RESULTS:There were 2,952 publications assessed with 12 meeting the inclusion criteria for review. Nine studies were included for quantitative analysis, including 5,013 patients sustaining penetrating thoracoabdominal injuries, of which 29.6% were obese. Obese patients that sustained stab injuries underwent more nontherapeutic operations. Obese patients that sustained gunshot injuries had longer intensive care and total hospital length of stay. Obese patients suffered more respiratory complications and were at an increased risk of death during their admission. CONCLUSION:The "armor phenomenon" does not truly protect obese patients, a population that experiences increased morbidity and mortality following penetrating thoracoabdominal injuries.

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