Low body mass index is associated with increased mortality in patients with pelvic and acetabular fractures

Waseem, S; Lenihan, J; Davies, Benjamin M; Rawal, J; Hull, Peter; Carrothers, Andrew; Chou, David

doi:10.1016/j.injury.2021.04.066

Cited by 4 publications

(3 citation statements)

References 33 publications

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“…Furthermore, an interesting correlation was found between BMI and fracture type in the Judet and Letournel classification, similar to the findings of Waseem et al They also reported that patients with posterior wall fractures had the highest BMI [25]. In our study, patients with posterior wall fractures had a mean BMI of 29.5, further supporting this association (Table 1).…”

Section: Discussionsupporting

confidence: 91%

The Association of Acetabulum Fracture and Mechanism of Injury with BMI, Days Spent in Hospital, Blood Loss, and Surgery Time: A Retrospective Analysis of 67 Patients

Wójcicki,

Pielak,

Walus

et al. 2024

Medicina

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Background and Objectives: The objective of this retrospective study was to investigate the association between acetabulum fractures; the mechanism of injury; and variables such as BMI, duration of hospital stay, blood loss, and surgery time. By exploring these factors, we aim to enhance our understanding of them and their impact on the healing process and the subsequent management of pelvic fractures. Materials and Methods: This study included 67 of 136 consecutive patients who were admitted for pelvic ring fracture surgery between 2017 and 2022. The data were collected prospectively at a single trauma center. The inclusion criteria were acetabulum fractures and indications for operative treatment. The exclusion criteria were non-operative treatment for acetabular and pelvic ring fractures, fractures requiring primary total hip arthroplasty (THA), and periprosthetic acetabular fractures. Upon admission, all patients underwent evaluation using X-ray and computed tomography (CT) scans of the pelvis. Results: The present study found no statistically significant differences between the examined groups of patients with pelvic fractures in terms of BMI, surgery duration, length of hospital stay, and blood transfusion. However, two notable findings approached statistical significance. Firstly, patients who experienced a fall from height while sustaining a pelvic fracture required a higher number of blood transfusions (2.3 units) than those with other mechanisms of injury which was close to achieving statistical significance (p = 0.07). Secondly, patients undergoing posterior wall stabilization required a significantly lower number of blood transfusions than those with other specific pelvic injuries (0.33 units per patient), approaching statistical significance (p = 0.056). Conclusions: The findings indicated that factors such as BMI, time of surgery, blood loss, and the duration of hospital stay were not directly correlated with the morphology of acetabular fractures, the presence of additional trauma, or the mechanism of injury. However, in the studied group, the patients whose mechanism of trauma involved falling from height had an increased number of blood transfusions compared to other groups. Moreover, the patients who had surgery due to posterior wall acetabulum fracture had decreased blood transfusions compared to those with other Judet and Letournel types of fractures. Additionally, they had the shortest duration of surgery.

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Section: Discussionsupporting

confidence: 91%

The Association of Acetabulum Fracture and Mechanism of Injury with BMI, Days Spent in Hospital, Blood Loss, and Surgery Time: A Retrospective Analysis of 67 Patients

Wójcicki,

Pielak,

Walus

et al. 2024

Medicina

View full text Add to dashboard Cite

show abstract

“…Furthermore, an interesting correlation was found between BMI and fracture type in the Judet Letournel classi cation, similar to the ndings of Waseem et al They also reported that patients with posterior wall fractures had the highest BMI [25]. In our study, patients with posterior wall fractures had a mean BMI of 29.5, further supporting this association (Table 1).…”

Section: Discussionsupporting

confidence: 91%

The association of acetabulum fracture and mechanism of injury with BMI, days spend in hospital, blood loss, and surgery time – a retrospective analysis of 67 patients

Wójcicki,

Pielak,

Walus

et al. 2023

Preprint

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Objective: The objective of this retrospective study was to investigate the association between acetabulum fractures, mechanism of injury, and variables such as BMI, duration of hospital stay, blood loss, and surgery time. By exploring these factors, we aim to enhance our understanding of the accompanying factors of pelvic fractures and their impact on the healing process and subsequent management. Methods: This study included 136 consecutive patients who were admitted for pelvic ring fracture surgery between 2017 and 2022. The data was collected prospectively at a single trauma center. . The inclusion criteria were acetabulum fractures and indications for operative treatment. The exclusion criteria were non-operative treatment for acetabular and pelvic ring fractures, fractures requiring primary total hip arthroplasty (THA), and periprosthetic acetabular fractures. Upon admission, all patients underwent evaluation using X-ray and computed tomography (CT) scans of the pelvis. Results: The present study found no statistically significant differences among the examined groups of patients with pelvic fractures in terms of BMI, surgery duration, length of hospital stay, and blood transfusion. However, two notable findings approached statistical significance. Firstly, patients who experienced a fall from height while sustaining a pelvic fracture required a higher number of blood transfusions (2.3 units) compared to other mechanisms of injury (Fig. 2D), which was close to achieving statistical significance (p=0.07). Secondly, patients undergoing posterior wall stabilization exhibited a significantly lower number of blood transfusions compared to other specific pelvic injuries (0.33 units per patient), approaching statistical significance (p=0.056). Conlusions: We firmly believe that our study has provided valuable insights into pelvic fractures and their association with the investigated factors. The findings indicate that factors such as BMI, time of surgery, blood loss, and duration of hospital stay are not directly correlated with the morphology of acetabular fractures, the presence of additional trauma, or the mechanism of injury. However, it is worth noting that many of our findings align with existing literature on the subject.

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“…This finding correlates with Waseem et al's study, where BMI was investigated in regard to pelvic fractures and their outcomes. They demonstrated that the highest number of APC type III injuries were found in the most obese patients [31]. Interestingly, these findings did not correlate to the lateral compression injuries in our study.…”

Section: Discussioncontrasting

confidence: 76%

The Association between BMI, Days Spent in Hospital, Blood Loss, Surgery Time and Polytrauma Pelvic Fracture—A Retrospective Analysis of 76 Patients

Pielak,

Wójcicki,

Walus

et al. 2023

Applied Sciences

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Objective: The objective of this study was to investigate the association between BMI, days spent in hospital, blood loss, and surgery time in patients who suffered from isolated pelvic fractures and pelvic fractures with concomitant injuries (polytrauma patients). Methods: This study included 76 consecutive patients who were admitted for pelvic ring fracture surgery between 2017 and 2022. The inclusion criteria were pelvic fractures and indications for operative treatment (LC II and III, APC II and III, and VS). The exclusion criteria were non-operative treatment for pelvic ring fractures, acetabular fractures and fractures requiring primary total hip arthroplasty (THA), and periprosthetic acetabular fractures. Demographic data were collected, including age (in years), sex, type of fracture according to Young–Burgess, date of injury and surgery, surgical approach and stabilization methods, mechanism of trauma, concomitant trauma in other regions, body mass index (BMI), blood transfusions, number of days spent in the hospital, and surgery duration. Results: Patients who suffered from a pelvic ring injury with concomitant injuries had a significantly greater amount of blood units transferred (1.02 units vs. 0.55 units), and the length of hospital stay was also longer compared to the mean results (5.84 days vs. 3.58 days), p = 0.01 and p = 0.001, respectively. Moreover, patients with a higher BMI had more frequent APC II and APC III fractures (p = 0.012). Conclusions: This study demonstrates that polytrauma patients who suffered from pelvic ring injury are, indeed, at risk of blood transfusion in terms of greater units of blood and a longer duration of hospital stay. Moreover, BMI has an impact on pelvic ring fracture morphology. However, there is no doubt that there is an absolute need for further studies and investigations to provide better overall management of polytrauma patients with pelvic fractures.

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Low body mass index is associated with increased mortality in patients with pelvic and acetabular fractures

Cited by 4 publications

References 33 publications

The Association of Acetabulum Fracture and Mechanism of Injury with BMI, Days Spent in Hospital, Blood Loss, and Surgery Time: A Retrospective Analysis of 67 Patients

The Association of Acetabulum Fracture and Mechanism of Injury with BMI, Days Spent in Hospital, Blood Loss, and Surgery Time: A Retrospective Analysis of 67 Patients

The association of acetabulum fracture and mechanism of injury with BMI, days spend in hospital, blood loss, and surgery time – a retrospective analysis of 67 patients

The Association between BMI, Days Spent in Hospital, Blood Loss, Surgery Time and Polytrauma Pelvic Fracture—A Retrospective Analysis of 76 Patients

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