Perineal trauma in a super obese patient: A case report

Chandhok, P.; Hsee, Li

doi:10.1016/j.injury.2007.11.019

Injury Extra

2008

DOI: 10.1016/j.injury.2007.11.019

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Perineal trauma in a super obese patient: A case report

P. Chandhok

Li Hsee

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Cited by 2 publications

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“…5 As the number of obese adults continues to increase, the potential number of obese trauma patients with severe injury and complications will also increase. 6 Management of prehospital and in-hospital trauma care, including complications associated with airway management, surgical procedures, and radiological imaging, of obese patients can be challenging. 7,8 However, published reports on how obesity complicates hospital stays after trauma are conflicting.…”

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

Lee

Hervey

Berg

et al. 2016

American Journal of Critical Care

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Background Allocating resources appropriately requires knowing whether obese patients use more resources during a hospital stay than nonobese patients. Objectives To determine if trauma patients with different body mass indexes differed in use of resources measured as a multifaceted outcome variable. Methods A trauma registry was used for a retrospective study of adult patients admitted to a midwestern level I trauma center. Patients were stratified into 3 groups: nonobese (normal weight, overweight), obese, and morbidly obese. Three canonical correlation analyses were used to determine the relationship between patient/injury characteristics and hospital resource usage. Results In a sample of 9771 patients, 71.2% were non-obese, 23.8% obese, and 5.0% morbidly obese. For patient/injury characteristics, Injury Severity Score and physiological complications were significant variables for all 3 groups. Scores on the Glasgow Coma Scale were significant for nonobese patients only. For resource usage, intensive care unit length of stay and procedures were significant variables for all 3 groups. Conclusions Associations between body mass index and outcomes have been noted when assessed as independent variables. However, when resource usage was assessed as a multifaceted outcome variable, injury factors (higher Injury Severity Score, lower scores on the Glasgow Coma Scale, more physiological complications) were associated with resource usage (increased length of stay in the intensive care unit and increased number of procedures). These findings provide clinicians a new perspective for evaluating the complex relationship between patient/injury characteristics and hospital resource usage.

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

Lee

Hervey

Berg

et al. 2016

American Journal of Critical Care

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“…As the number of obese patients rises, we expect to see an increasing number of obese patients with trauma with severe injuries [1]. Obesity has been shown to alter a number of acute and chronic medical conditions [2].…”

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confidence: 99%

Does obesity impact the pattern and outcome of trauma in children?

Alselaim

Malaekah

Saade

et al. 2012

Journal of Pediatric Surgery

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Perineal trauma in a super obese patient: A case report

Cited by 2 publications

References 4 publications

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

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

Does obesity impact the pattern and outcome of trauma in children?

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