PDF(Pubmed)
Abstract：
UNASSIGNED: Obesity is associated with increased morbidity and mortality in trauma scenarios; however, there has been conflicting evidence on outcomes of obesity and penetrating injuries, specifically gunshot wounds and stab wounds. We hypothesized that obesity may be protective due to a \"cushioning effect\" attributed to increased adiposity.
UNASSIGNED: This was a retrospective cohort study of patients presenting to a Level 1 Trauma Center with a penetrating trauma (gunshot/stab) injury during 2008-2021. Patients with a BMI ≥ 30 were compared to those with a BMI < 30. The primary outcome was Injury Severity Score (ISS). Secondary outcomes included intensive care unit (ICU) length of stay, days on ventilation, length of hospital stay, service of admission (trauma surgery, general surgery, discharged home, general medical floor), the body region of injury(s), Abbreviated Injury Scale (AIS), OR requirement, type of surgery, and discharge status. Statistical analysis was performed using χ2-test or Fisher\'s exact tests for categorical data, and Student\'s t-test or Mann-Whitney U-test for continuous variables with p < 0.05 as statistically significant. Subgroup analysis was performed based on the mechanism of injury.
UNASSIGNED: There were 721 patients that met inclusion criteria, of which 540 were classified in the non-obese group and 181 (25.1%) in the obese group. The primary outcome, mean ISS score, in obese patients (9.0, SD = 13.0) and non-obese patients (9.4, SD = 13.8) was similar between groups respectively. Secondary outcomes, which included rates of severe abdominal injury (AIS ≥ 3), rates of intra-abdominal organ injury, and rates of gastro-intestinal resection, were also similar between non-obese and obese patients.
UNASSIGNED: This study did not demonstrate the existence of a \"cushioning effect\" in the setting of penetrating traumatic injury. Patients with increased BMI had similar a ISS score and patterns of injury as their non-obese counterparts.
UNASSIGNED: This was a retrospective cohort study of patients presenting to a Level 1 Trauma Center with a penetrating trauma (gunshot/stab) injury during 2008-2021. Patients with a BMI ≥ 30 were compared to those with a BMI < 30. The primary outcome was Injury Severity Score (ISS). Secondary outcomes included intensive care unit (ICU) length of stay, days on ventilation, length of hospital stay, service of admission (trauma surgery, general surgery, discharged home, general medical floor), the body region of injury(s), Abbreviated Injury Scale (AIS), OR requirement, type of surgery, and discharge status. Statistical analysis was performed using χ2-test or Fisher\'s exact tests for categorical data, and Student\'s t-test or Mann-Whitney U-test for continuous variables with p < 0.05 as statistically significant. Subgroup analysis was performed based on the mechanism of injury.
UNASSIGNED: There were 721 patients that met inclusion criteria, of which 540 were classified in the non-obese group and 181 (25.1%) in the obese group. The primary outcome, mean ISS score, in obese patients (9.0, SD = 13.0) and non-obese patients (9.4, SD = 13.8) was similar between groups respectively. Secondary outcomes, which included rates of severe abdominal injury (AIS ≥ 3), rates of intra-abdominal organ injury, and rates of gastro-intestinal resection, were also similar between non-obese and obese patients.
UNASSIGNED: This study did not demonstrate the existence of a \"cushioning effect\" in the setting of penetrating traumatic injury. Patients with increased BMI had similar a ISS score and patterns of injury as their non-obese counterparts.
摘要：
■肥胖与创伤情况下的发病率和死亡率增加有关；然而，关于肥胖和穿透性损伤的结果有相互矛盾的证据，特别是枪伤和刺伤.我们假设肥胖可能是保护性的，因为肥胖增加导致的“缓冲作用”。
■这是一项回顾性队列研究，对象是2008-2021年期间到1级创伤中心接受穿透性创伤（枪伤/刺伤）损伤的患者。将BMI≥30的患者与BMI<30的患者进行比较。主要结果是损伤严重程度评分（ISS）。次要结果包括重症监护病房（ICU）住院时间，通风天数，住院时间,入院服务(创伤手术，普外科,出院回家,一般医疗地板)，身体受伤区域，缩写损伤量表（AIS），或要求,手术类型,和出院状态。使用χ2检验或Fisher精确检验对分类数据进行统计分析，连续变量的学生t检验或Mann-WhitneyU检验，p<0.05具有统计学意义。根据损伤机制进行亚组分析。
■有721名患者符合纳入标准，其中540人归入非肥胖组,181人(25.1%)归入肥胖组.主要结果，ISS平均得分,在肥胖患者(9.0,SD=13.0)和非肥胖患者(9.4,SD=13.8)中,两组之间的差异分别相似.次要结果，其中包括严重腹部损伤的发生率（AIS≥3），腹内器官损伤的发生率，以及胃肠切除率，非肥胖和肥胖患者之间也相似。
■这项研究没有证明在穿透性创伤性损伤的背景下存在“缓冲作用”。BMI增加的患者与非肥胖患者的ISS评分和损伤模式相似。
■这是一项回顾性队列研究，对象是2008-2021年期间到1级创伤中心接受穿透性创伤（枪伤/刺伤）损伤的患者。将BMI≥30的患者与BMI<30的患者进行比较。主要结果是损伤严重程度评分（ISS）。次要结果包括重症监护病房（ICU）住院时间，通风天数，住院时间,入院服务(创伤手术，普外科,出院回家,一般医疗地板)，身体受伤区域，缩写损伤量表（AIS），或要求,手术类型,和出院状态。使用χ2检验或Fisher精确检验对分类数据进行统计分析，连续变量的学生t检验或Mann-WhitneyU检验，p<0.05具有统计学意义。根据损伤机制进行亚组分析。
■有721名患者符合纳入标准，其中540人归入非肥胖组,181人(25.1%)归入肥胖组.主要结果，ISS平均得分,在肥胖患者(9.0,SD=13.0)和非肥胖患者(9.4,SD=13.8)中,两组之间的差异分别相似.次要结果，其中包括严重腹部损伤的发生率（AIS≥3），腹内器官损伤的发生率，以及胃肠切除率，非肥胖和肥胖患者之间也相似。
■这项研究没有证明在穿透性创伤性损伤的背景下存在“缓冲作用”。BMI增加的患者与非肥胖患者的ISS评分和损伤模式相似。
