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About:
Obesity is Associated with Worse Outcomes Among Abdominal Trauma Patients Undergoing Laparotomy: A Propensity-Matched Nationwide Cohort Study
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wasabi.inria.fr
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research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
Obesity is Associated with Worse Outcomes Among Abdominal Trauma Patients Undergoing Laparotomy: A Propensity-Matched Nationwide Cohort Study
Creator
Bajani, Francesco
Bokhari, Marissa
Fu, Chih-Yuan
Messer, Thomas
Mis, Justin
Poulakidas, Stathis
Schlanser, Victoria
Tatebe, Leah
Dennis, •
Kaminsky, •
Starr, •
Faran Bokhari, •
Toor, •
Source
PMC
abstract
INTRODUCTION: Obesity is associated with increased morbidity and mortality in abdominal trauma patients. The characteristics of abdominal trauma patients with poor outcomes related to obesity require evaluation. We hypothesize that obesity is related to increased mortality and length of stay (LOS) among abdominal trauma patients undergoing laparotomies. METHODS: Abdominal trauma patients were identified from the National Trauma Data Bank between 2013 and 2015. Patients who received laparotomies were analyzed using propensity score matching (PSM) to evaluate the mortality rate and LOS between obese and non-obese patients. Patients without laparotomies were analyzed as a control group using PSM cohort analysis. RESULTS: A total of 33,798 abdominal trauma patients were evaluated, 10,987 of them received laparotomies. Of these patients, the proportion of obesity in deceased patients was significantly higher when compared to the survivors (33.1% vs. 26.2%, p < 0.001). Elevation of one kg/m(2) of body mass index independently resulted in 2.5% increased odds of mortality. After a well-balanced PSM, obese patients undergoing laparotomies had significantly higher mortality rates [3.7% vs. 2.4%, standardized difference (SD) = 0.241], longer hospital LOS (11.1 vs. 9.6 days, SD = 0.135), and longer intensive care unit LOS (3.5 vs. 2.3 days, SD = 0.171) than non-obese patients undergoing laparotomies. CONCLUSIONS: Obesity is associated with increased mortality in abdominal trauma patients who received laparotomies versus those who did not. Obesity requires a careful evaluation of alternatives to laparotomy in injured patients. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s00268-019-05268-5) contains supplementary material, which is available to authorized users.
has issue date
2019-11-11
(
xsd:dateTime
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bibo:doi
10.1007/s00268-019-05268-5
bibo:pmid
31712846
has license
no-cc
sha1sum (hex)
cb2265c124a135c46cac9e5e3dda19b438fe54a8
schema:url
https://doi.org/10.1007/s00268-019-05268-5
resource representing a document's title
Obesity is Associated with Worse Outcomes Among Abdominal Trauma Patients Undergoing Laparotomy: A Propensity-Matched Nationwide Cohort Study
has PubMed Central identifier
PMC7223826
has PubMed identifier
31712846
schema:publication
World J Surg
resource representing a document's body
covid:cb2265c124a135c46cac9e5e3dda19b438fe54a8#body_text
is
schema:about
of
named entity '2015'
named entity 'propensity score matching'
named entity 'Cohort'
named entity 'DAYS'
named entity 'RELATED'
named entity 'HOSPITAL'
named entity '2.5'
named entity 'CONTROL GROUP'
named entity 'ASSOCIATED WITH'
named entity 'Obesity'
named entity 'LOS'
named entity 'Results'
named entity 'days'
named entity 'abdominal trauma'
named entity 'laparotomies'
named entity 'Patients'
named entity 'obesity'
named entity 'mortality rates'
named entity 'abdominal trauma'
named entity 'PSM'
named entity 'laparotomies'
named entity '3.5'
named entity 'cohort analysis'
named entity 'laparotomies'
named entity 'Cohort Study'
named entity 'compared'
named entity 'intensive care'
named entity 'surgical site infection'
named entity 'obesity'
named entity 'pharmaceutical'
named entity 'obese'
named entity 'odds ratios'
named entity 'comorbidities'
named entity 'retrospective cohort'
named entity 'deep vein thrombosis'
named entity 'Glasgow coma scale'
named entity 'ICD-9'
named entity 'PSM'
named entity 'anesthesia'
named entity 'traumatic injuries and outcomes'
named entity 'laparotomies'
named entity 'BMI'
named entity 'comorbidities'
named entity 'Intensive care unit'
named entity 'morbidities'
named entity 'surgical stress'
named entity 'systolic blood pressure'
named entity 'obese'
named entity 'laparotomy'
named entity 'laparotomy'
named entity 'laparotomy'
named entity 'obese'
named entity 'morbidity'
named entity 'abdominal trauma'
named entity 'respiratory rate'
named entity 'ISS'
named entity 'Surgical complications'
named entity 'laparotomy'
named entity 'obese'
named entity 'obesity'
named entity 'laparotomies'
named entity 'obesity'
named entity 'risk factor'
named entity 'pneumothorax'
named entity 'SBP'
named entity 'anastomoses'
named entity 'SBP'
named entity 'body mass index'
named entity 'injury severity score'
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