Mica, Ladislav, Keller, Catharina, Vomela, Jindrich, Trentz, Otmar, Plecko, Michael and Keel, Marius J. (2013). Obesity and overweight as a risk factor for pneumonia in polytrauma patients: A retrospective cohort study. J. Trauma Acute Care Surg., 75 (4). S. 693 - 699. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS. ISSN 2163-0763

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Abstract

BACKGROUND: Obesity is a growing problem in western societies. The aim of this retrospective cohort study was to determine the association between the overweight and obese polytrauma patients and pneumonia after injury. METHODS: A total of 628 patients with an Injury Severity Score (ISS) of 16 or greater and 16 years or older were included in this retrospective study. The sample was subdivided into three groups as follows: body mass index (BMI) of less than 25 kg/m(2); BMI of 25 kg/m(2) to 30 kg/m(2); and BMI more than 30 kg/m(2). The Murray score was assessed at admission and at its maximum during hospitalization to determine pulmonary problems. Pneumonia was defined as bacteriologically positive sputum with appropriate radiologic and laboratory changes (C-reactive protein and interleukin 6). Data are given as mean T SEM. One-way analysis of variance and the Kruskal-Wallis test were used for the analyses, and the significance level was set at p < 0.05; Bonferroni-Dunn test was performed as post hoc analysis. RESULTS: The Abbreviated Injury Scale (AIS) score for the thorax was 3.2 +/- 0.1 in the group with a BMI of less than 25 kg/m(2), 3.3 +/- 0.1 in the group with a BMI of 25 kg/m(2) to 30 kg/m(2), and 2.8 +/- 0.2 in the group with BMI of more than 30 kg/m(2) (p = 0.044). The Murray score at admission was elevated with increasing BMI (0.8 +/- 0.8 for BMI < 25 kg/m(2), 0.9 +/- 0.9 for BMI 25-30 kg/m(2), and 1.0 +/- 0.8 for BMI > 30 kg/m(2); p = 0.137); the maximum Murray score during hospitalization revealed significant differences (1.2 +/- 0.9 for BMI < 25 kg/m(2), 1.6 +/- 1.0 for BMI 25-30 kg/m(2), and 1.5 +/- 0.9 for BMI > 30 kg/m(2); p < 0.001). The incidence of pneumonia also increased with increasing BMI (1.6% for BMI < 25 kg/m(2), 2.0% for BMI 25-30 kg/m(2), and 3.1% for BMI > 30 kg/m(2); p = 0.044). CONCLUSION: Obesity leads to an increased incidence of pneumonia in a polytrauma situation. Copyright (C) 2013 by Lippincott Williams & Wilkins

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Mica, LadislavUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Keller, CatharinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Vomela, JindrichUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Trentz, OtmarUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Plecko, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Keel, Marius J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-474328
DOI: 10.1097/TA.0b013e31829a0bdd
Journal or Publication Title: J. Trauma Acute Care Surg.
Volume: 75
Number: 4
Page Range: S. 693 - 699
Date: 2013
Publisher: LIPPINCOTT WILLIAMS & WILKINS
Place of Publication: PHILADELPHIA
ISSN: 2163-0763
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
BLUNT TRAUMA PATIENTS; C-REACTIVE PROTEIN; INJURY SEVERITY; INFLAMMATION; MORTALITY; OUTCOMES; DISEASE; SYSTEM; IMPACT; CAREMultiple languages
Critical Care Medicine; SurgeryMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/47432

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