Infectious complications in obese patients after trauma

Teresa Maria Bell, Demetria R. Bayt, Charles B. Siedlecki, Samantha M. Stokes, Joseph Yoder, Peter Jenkins, Alison M. Fecher

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background Obesity is a public health concern in the United States due to its increasing prevalence, especially in younger age groups. Trauma is the most common cause of death for people under aged 40 y. The purpose of this study is to determine the association between obesity and specific infectious complications after traumatic injury. Materials and methods A retrospective analysis was conducted using data from the 2012 National Trauma Data Bank. The National Trauma Data Bank defined obesity as having a body mass index of 30 or greater. Descriptive statistics were calculated and stratified by obesity status. A hierarchical regression model was used to determine the odds of experiencing an infectious complication in patients with obesity while controlling for age, gender, diabetes, number of comorbidities, injury severity, injury mechanism, head injury, and surgical procedure. Results Patients with a body mass index of 30 or greater compared with nonobese patients had increased odds of having an infectious complication (Odds Ratio, 1.59; 1.49-1.69). In addition to obesity, injury severity score greater than 29, age 40 y or older, diabetes, comorbid conditions, and having a surgical procedure were also predictive of an infectious complication. Conclusions Our results indicate that trauma patients with obesity are nearly 60% more likely to develop an infectious complication in the hospital. Infection prevention and control measures should be implemented soon after hospital arrival for patients with obesity, particularly those with operative trauma.

Original languageEnglish (US)
Pages (from-to)393-397
Number of pages5
JournalJournal of Surgical Research
Volume204
Issue number2
DOIs
StatePublished - Aug 1 2016

Fingerprint

Obesity
Wounds and Injuries
Body Mass Index
Databases
Injury Severity Score
Infection Control
Craniocerebral Trauma
Comorbidity
Cause of Death
Public Health
Age Groups
Odds Ratio

Keywords

  • Complications
  • Obesity
  • Sepsis
  • Surgical site infection
  • Trauma
  • Urinary tract infection

ASJC Scopus subject areas

  • Surgery

Cite this

Bell, T. M., Bayt, D. R., Siedlecki, C. B., Stokes, S. M., Yoder, J., Jenkins, P., & Fecher, A. M. (2016). Infectious complications in obese patients after trauma. Journal of Surgical Research, 204(2), 393-397. https://doi.org/10.1016/j.jss.2016.04.019

Infectious complications in obese patients after trauma. / Bell, Teresa Maria; Bayt, Demetria R.; Siedlecki, Charles B.; Stokes, Samantha M.; Yoder, Joseph; Jenkins, Peter; Fecher, Alison M.

In: Journal of Surgical Research, Vol. 204, No. 2, 01.08.2016, p. 393-397.

Research output: Contribution to journalArticle

Bell, TM, Bayt, DR, Siedlecki, CB, Stokes, SM, Yoder, J, Jenkins, P & Fecher, AM 2016, 'Infectious complications in obese patients after trauma', Journal of Surgical Research, vol. 204, no. 2, pp. 393-397. https://doi.org/10.1016/j.jss.2016.04.019
Bell TM, Bayt DR, Siedlecki CB, Stokes SM, Yoder J, Jenkins P et al. Infectious complications in obese patients after trauma. Journal of Surgical Research. 2016 Aug 1;204(2):393-397. https://doi.org/10.1016/j.jss.2016.04.019
Bell, Teresa Maria ; Bayt, Demetria R. ; Siedlecki, Charles B. ; Stokes, Samantha M. ; Yoder, Joseph ; Jenkins, Peter ; Fecher, Alison M. / Infectious complications in obese patients after trauma. In: Journal of Surgical Research. 2016 ; Vol. 204, No. 2. pp. 393-397.
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