Journal of the American College of Surgeons
Volume 203, Issue 4 , Pages 533-538 , October 2006

Impact of Obesity in the Critically Ill Trauma Patient: A Prospective Study

Podium presentation at the 17th Annual Meeting of the Eastern Association for the Surgery of Trauma, Sanibel, FL.

  • Grant V. Bochicchio, MD, FACS, MPH

      Affiliations

    • Department of Surgery, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD
    • Corresponding Author InformationCorrespondence address: Grant V Bochicchio, MD, MPH, Department of Surgery, R Adams Cowley Shock Trauma Center, 22 South Greene St, Baltimore, MD 21201.
    • ,
  • Manjari Joshi, MD

      Affiliations

    • Department of Medicine, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD
    • ,
  • Kelly Bochicchio, RN, BSN

      Affiliations

    • Department of Medicine, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD
    • ,
  • Shelly Nehman, MS, RD, CNSD

      Affiliations

    • Department of Nutrition, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD
    • ,
  • J. Kathleen Tracy, PhD

      Affiliations

    • Department of Epidemiology and Preventive Medicine, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD.
    • ,
  • Thomas M. Scalea, MD, FACS

      Affiliations

    • Department of Surgery, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD

Received 18 May 2006 ,Revised 27 June 2006 ,Accepted 5 July 2006.

References 

  1. National Centers for Disease Control and Prevention. National Center for Chronic Disease Prevention and Health Promotion. Available at: http://www.cdc.gov/nccdphp/index.htm. Accessed: June 2003.
  2. Moran S , McGwin G , Metzger J , et al.   Injury rates among restrained drivers in motor vehicle collisions: the role of body habitus . J Trauma . 2002;52:1116–1120
  3. Choban PS , Weireter LJ , Maynes C . Obesity and increased mortality in blunt trauma . J Trauma . 1991;31:1253–1257
  4. Boulanger BR , Milzman D , Mitchell K , Rodriguez A . Body habitus as a predictor of injury pattern after blunt trauma . J Trauma . 1992;33:228–232
  5. Reeves BC , Ascione R , Chamberlain MH , Angelini GD . Effect of body mass index on early outcomes in patients undergoing coronary artery bypass surgery . J Am Coll Cardiol . 2003;42:668–676
  6. Potapov EV , Loebe M , Anker S , et al.   Impact of body mass index on outcome in patients after coronary artery bypass grafting with and without valve surgery(1) . Eur Heart J . 2003;24:1933–1941
  7. Kuduvalli M , Grayson AD , Oo AY , et al.   Risk of morbidity and in-hospital mortality in obese patients undergoing coronary artery bypass surgery . Eur J Cardiothorac Surg . 2002;22:787–793
  8. Galanos A , Pieper C , Kussin P , et al.   Relationship of body mass index to subsequent mortality among seriously ill hospitalized patients . Crit Care Med . 1997;25:1962–1968
  9. Landi F , Onder G , Gamcassi G , et al.   Body mass index and mortality among hospitalized patients . Arch Intern Med . 2000;160:2641–2644
  10. Bochicchio G , Ilahi O , Joshi M , et al.   Endotracheal intubation in the field does not improve outcome in trauma patients who present without an acutely lethal traumatic brain injury . J Trauma . 2003;54:307–311
  11. Gannon CJ , Napolitano LM , Pasquale M , et al.   A statewide population-based study of gender differences in trauma: validation of a prior single-institution study . J Am Coll Surg . 2002;195:11–18
  12. Flegal KM , Carroll MD , Kuczmarski RJ , Johnson CL . Overweight and obesity in the United States: prevalence and trends, 1960–1994 . Int J Obes Relat Metab Disord . 1998;22:39–47
  13. Flegal KM , Carroll MD , Ogden CL , Johnson CL . Prevalence and trends in obesity among US adults, 1999–2000 . JAMA . 2002;288:1723–1727
  14. Wolf AM , Colditz GA . Social and economic effects of body weight in the United States . Am J Clin Nutr . 1996;63:466S–469S
  15. Must A , Spadano J , Coakley EH , et al.   The disease burden associated with overweight and obesity . JAMA . 1999;282:1523–1529
  16. Mantzoros C . The role of leptin in human obesity and disease: a review of current evidence . Ann Intern Med . 1999;130:671–680
  17. Meier C , Bobbioni E , Gabay C , et al.   IL-1 receptor antagonist serum levels are increased in human obesity: a possible link to the resistance to leptin? . J Clin Endocrinol Metab . 2002;87:1184–1188
  18. Cottam DR , Schaefer PA , Fahmy D , et al.   The effect of obesity on neutrophil c receptors and adhesion molecules (CD16, CD 11b, CD62L) . Obes Surg . 2002;12:230–235
  19. Williamson JA , Webb RK , Szekely S , et al.   The Australian incident monitoring study: difficult intubation: an analysis of 2,000 incident reports . Anaesth Intensive Care . 1993;21:602–607
  20. Koenig SM . Pulmonary complications of obesity . Am J Med Sci . 2001;321:249–279
  21. Gilbert TB , Seneff MG , Becker RB . Facilitation of internal jugular venous cannulation using an audio-guided Doppler ultrasound vascular access device: results from a prospective, dual-center, randomized, crossover clinical study . Crit Care Med . 1995;23:60–65
  22. Tremblay A , Bandi V . Impact of body mass index on outcomes following critical care . Chest . 2003;123:1202–1207
  23. El-Solh A , Sikka P , Bozkanat E , et al.   Morbid obesity in the medical ICU . Chest . 2001;120:1989–1997

 Competing Interests Declared: None.

PII: S1072-7515(06)01086-6

doi: 10.1016/j.jamcollsurg.2006.07.001

Journal of the American College of Surgeons
Volume 203, Issue 4 , Pages 533-538 , October 2006

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