目的:该研究的目的是确定超重或肥胖儿童在行人机动车事故后受伤和不良后果的风险是否增加。
方法:我们对2至17岁的行人在与机动车碰撞中受伤的患者进行了回顾性研究,去一级创伤中心,2010年1月1日至2021年12月31日之间。入院体重低于疾病控制和预防中心性别特异性生长图第90百分位数的患者被确定为超重/肥胖,低于临界值的被归类为非肥胖.群体在人口统计方面进行了比较,损伤机制,伤害严重程度评分,和身体损伤区域的缩写损伤量表。结果措施包括住院,住院时间,重症监护病房(ICU)入院,ICU住院时间,和死亡率。
结果:在包括的306名患者中,72例(23.5%)超重/肥胖,234例(76.5%)非肥胖。超重/肥胖患者的平均损伤严重程度评分较高(5.37vs8.74,P=0.008)。超重/肥胖儿童更有可能遭受严重腹部损伤(简化损伤量表≥3)(12.2%vs5.1%;比值比[OR],2.64;95%CI,1.07-6.56;P=0.030),入院(94.5%vs74.3%;或,12.07;95%CI,2.87-50.72;P<0.001),需要入住ICU(31.0%vs20.0%,OR,1.87;95%CI,1.03-3.36;P=0.036),并需要更长的ICU住院时间(0.9天vs0.4天,与非肥胖患者相比,P=0.014)。
结论:肥胖和超重儿童受伤严重程度评分较高的风险增加,严重的腹部损伤,行人机动车事故后入住ICU。
OBJECTIVE: The aim of the study is to determine whether overweight or obese children are at an increased risk for injury and adverse outcomes following pedestrian motor vehicle accidents.
METHODS: We performed a retrospective study of patients between the ages of 2 and 17 who were pedestrians injured in a collision with a motorized vehicle, presenting to a level 1 trauma center, between January 1, 2010, to December 31, 2021. Patients with admission weights falling above the 90th percentile of the Centers for Disease Control and Prevention\'s sex-specific growth charts were identified as overweight/obese, those below the cutoff were categorized as nonobese. Groups were compared regarding demographics, mechanism of injury, Injury Severity Score, and Abbreviated Injury Scale by body region of injury. Outcome measures included hospital admission, length of hospital stay, intensive care unit (ICU) admission, ICU length of stay, and mortality.
RESULTS: Of the 306 patients included, 72 (23.5%) were overweight/obese and 234 (76.5%) were nonobese. The mean Injury Severity Score scores were higher among overweight/obese patients (5.37 vs 8.74, P = 0.008). Overweight/obese children were more likely to sustain severe abdominal injuries (Abbreviated Injury Scale ≥ 3) (12.2% vs 5.1%; odds ratio [OR], 2.64; 95% CI, 1.07-6.56; P = 0.030), be admitted to the hospital (94.5% vs 74.3%; OR, 12.07; 95% CI, 2.87-50.72; P < 0.001), require ICU admission (31.0% vs 20.0%, OR, 1.87; 95% CI, 1.03-3.36; P = 0.036), and require a longer ICU stay (0.9 vs 0.4 days, P = 0.014) compared with nonobese patients.
CONCLUSIONS: Obese and overweight children are at increased risk for higher injury severity scores, severe abdominal injuries, and ICU admission after pedestrian motor vehicle accidents.