About: Obesity associated with increased postoperative pulmonary complications and mortality after trauma laparotomy

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About: Obesity associated with increased postoperative pulmonary complications and mortality after trauma laparotomy Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Obesity associated with increased postoperative pulmonary complications and mortality after trauma laparotomy
Creator	Covarrubias, Jose Dolich, · Grigorian, Areg Lekawa, · Nahmias, Jeffry Nguyen, Ninh Sahil Gambhir, · Schubl, Sebastian
source	PMC
abstract	BACKGROUND: Patient-related risk factors for the development of postoperative pulmonary complications (PPCs) include age ≥ 60-years, congestive heart failure, hypoalbuminemia and smoking. The effect of obesity is unclear and has not been shown to independently increase the likelihood of PPCs in trauma patients undergoing trauma laparotomy. We hypothesized the likelihood of mortality and PPCs would increase as body mass index (BMI) increases in trauma patients undergoing trauma laparotomy. METHODS: The Trauma Quality Improvement Program (2010–2016) was queried to identify trauma patients ≥ 18-years-old undergoing trauma laparotomy within 6-h of presentation. A multivariable logistic regression analysis was used to determine the likelihood of PPCs and mortality when stratified by BMI. RESULTS: From 8,330 patients, 2,810 (33.7%) were overweight (25–29.9 kg/m(2)), 1444 (17.3%) obese (30–34.9 kg/m(2)), 580 (7.0%) severely obese (35–39.9 kg/m(2)), and 401 (4.8%) morbidly obese (≥ 40 kg/m(2)). After adjusting for covariates including age, injury severity score, chronic obstructive pulmonary disease, smoking, and rib/lung injury, the likelihood of PPCs increased with increasing BMI: overweight (OR = 1.37, CI 1.07–1.74, p = 0.012), obese (OR = 1.44, CI 1.08–1.92, p = 0.014), severely obese (OR = 2.20, CI 1.55–3.14, p < 0.001), morbidly obese (OR = 2.42, CI 1.67–3.51, p < 0.001), compared to those with normal BMI. In addition, the adjusted likelihood of mortality increased for the morbidly obese (OR = 2.60, CI 1.78–3.80, p < 0.001) compared to those with normal BMI. CONCLUSION: Obese trauma patients undergoing emergent trauma laparotomy have a high likelihood for both PPCs and mortality, with morbidly obese trauma patients having the highest likelihood for both. This suggests obesity should be accounted for in risk prediction models of trauma patients undergoing laparotomy. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s00068-020-01329-w) contains supplementary material, which is available to authorized users.
has issue date	2020-02-22(xsd:dateTime)
bibo:doi	10.1007/s00068-020-01329-w
bibo:pmid	32088754
has license	no-cc
sha1sum (hex)	da87ad28d1ca3f3b55b9e889b97e045f37ba57a1
schema:url	https://doi.org/10.1007/s00068-020-01329-w
resource representing a document's title	Obesity associated with increased postoperative pulmonary complications and mortality after trauma laparotomy
has PubMed Central identifier	PMC7222077
has PubMed identifier	32088754
schema:publication	Eur J Trauma Emerg Surg
resource representing a document's body	covid:da87ad28d1ca3f3b55b9e889b97e045f37ba57a1#body_text
is schema:about of	named entity 'obese' named entity 'trauma' named entity 'likelihood' named entity 'laparotomy' named entity 'mortality' named entity 'CHRONIC OBSTRUCTIVE PULMONARY DISEASE' named entity 'OBESE' named entity 'hypoalbuminemia' named entity 'compared' named entity 'laparotomy' named entity 'likelihood' named entity 'BMI' named entity 'smoking' named entity 'obese' named entity 'likelihood' named entity 'patients' named entity 'likelihood' named entity 'logistic regression' named entity 'BMI' named entity 'morbidly obese' named entity 'lung injury' named entity 'PPCs' named entity 'trauma patients' named entity '3.14' named entity 'laparotomy' named entity 'body mass index' named entity 'severely obese' named entity 'development' named entity 'surgical complications' named entity 'obese' named entity 'interquartile range' named entity 'doi' named entity 'obesity' named entity 'BMI' named entity 'median age' named entity 'DCL' named entity 'TQIP' named entity 'PVD' named entity '4-h' named entity 'BMI' named entity 'BMI' named entity 'prospective studies' named entity 'reference group' named entity 'obese' named entity 'logistic regression' named entity 'BMI' named entity 'severely obese' named entity 'laparotomy' named entity 'packed red blood cells' named entity 'obesity' named entity 'obese' named entity 'BMI' named entity 'ventilator' named entity 'TQIP' named entity 'Obesity' named entity 'laparotomy' named entity 'obese' named entity 'ARDS' named entity 'morbidly obese' named entity 'obesity' named entity 'BMI' named entity 'trauma patients' named entity 'ISS' named entity 'ill-health' named entity 'thorax' named entity 'IBM' named entity 'DCL' named entity 'epidemic' named entity 'DCL' named entity 'general surgical' named entity 'sensitivity and specificity' named entity 'chest wall' named entity 'pulmonary toilet' named entity 'AIS'

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