Association of Body Mass Index on Injuries and Outcomes After Ground-Level Falls. Issue 10 (October 2021)
- Record Type:
- Journal Article
- Title:
- Association of Body Mass Index on Injuries and Outcomes After Ground-Level Falls. Issue 10 (October 2021)
- Main Title:
- Association of Body Mass Index on Injuries and Outcomes After Ground-Level Falls
- Authors:
- Owattanapanich, Natthida
Schellenberg, Morgan
Switzer, Emily
Clark, Damon H.
Matsushima, Kazuhide
Inaba, Kenji - Abstract:
- Background: The impact of body mass index (BMI) on trauma severity after ground-level falls (GLF) is currently unclear. This study aimed to examine the associations between BMI, injuries, and outcomes after GLF. Study Design: All patients ≥16 years of age injured by GLF were queried from the TQIP database (2013-2017). Exclusions were transfers, emergency department death, AIS 6 in any region, and missing data. Body mass index defined study groups: Underweight (BMI<18.5), Normal (BMI 18.5-24.9), Overweight (25.0-29.9), and Obese (≥30). Results: After exclusions, 131 570 patients remained for analysis. Most patients had a normal BMI (n = 58 503, 44%). Median ISS was 9 [IQR 9-10] in all groups. The Obese group had significantly lower rates of fractures than the Normal group, particularly femur fractures (53% vs. 64%, P < .001), but required orthopedic surgical intervention more frequently (45% vs. 41%, P < .001). On multivariate analysis, being overweight was protective against mortality (OR .881, P = .005), while obesity was not associated with mortality (OR 1.012, P = .821). Conclusion: Increasing BMI may be protective against both fracture risk and mortality after GLF. However, obese patients require operative fixation more frequently. Particularly as fracture diagnosis may be more challenging in the obese, special care should be taken during their tertiary surveys after GLF to ensure injuries are not missed.
- Is Part Of:
- American surgeon. Volume 87:Issue 10(2021)
- Journal:
- American surgeon
- Issue:
- Volume 87:Issue 10(2021)
- Issue Display:
- Volume 87, Issue 10 (2021)
- Year:
- 2021
- Volume:
- 87
- Issue:
- 10
- Issue Sort Value:
- 2021-0087-0010-0000
- Page Start:
- 1584
- Page End:
- 1588
- Publication Date:
- 2021-10
- Subjects:
- body mass index -- obesity -- ground-level falls -- obesity paradox
Surgery -- Periodicals
Surgery -- United States -- Periodicals
617.0973 - Journal URLs:
- https://journals.sagepub.com/home/asua ↗
http://www.sagepublications.com/ ↗ - DOI:
- 10.1177/00031348211024640 ↗
- Languages:
- English
- ISSNs:
- 0003-1348
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 18377.xml