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Increasing BMI is associated with higher mortality, worsening outcomes and highly specific injury patterns following trauma: A multi-institutional analysis of 191,274 patients

The Journal of Trauma and Acute Care Surgery Feb 05, 2021

Fakhry SM, Morse JL, Garland JM, et al. - Researchers conducted this study of patients from 87 hospitals’ trauma registries with the aims to determine the impact of BMI on patterns of injury and patient outcomes following trauma. Among 191,274 included patients, 53% were male, mean age was 60.4 years, mean Glasgow Coma Scale score was 14.4, mean Injury Severity Score was 8.8, and 40.4% had normal weight. In this large multicenter study, higher mortality was observed in strong correlation with increasing BMI and lower than normal BMI. In addition, increasing BMI was linked with longer length of stay, raised complications, and unique injury patterns. These untoward outcomes, together with a distinct injury pattern, highlight the necessity for care guidelines specific to trauma patients with higher BMI, as well as those with BMI lower than normal.

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