Impact of the Body Mass Index on the Intensive Care Outcome of (Poly-)Traumatized Patients
Clicks: 1
ID: 310029
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This
article has not been analysed, so there is no overall score —
reader engagement is measured and shown alongside.
Reader Engagement
0.0
/100
1 views
0 readers
AI Quality Assessment
Not analyzed
Readership in this journal
Ranked #311 of 490 articles by views in Frontiers in surgery
Most read
Least read
Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 490 in total.
Mint this article as an NFT
Not yet mintedCreate a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.
5
SUSD
one-off · no wallet required
Abstract
Purpose: The increasing prevalence of obesity poses significant challenges to intensive care medicine, particularly in trauma care. The "obesity paradox", suggesting enhanced survival in overweight individuals, remains controversial. The study aimed to investigate the association between Body Mass Index and intensive care outcomes in severely injured patients. Methods: A retrospective matched 1:2:1 set analysis with n = 192 / 384 / 192 patients was conducted using data from the TraumaRegister DGU®. A total of 5766 patients admitted to intensive care were included and categorized into three BMI groups: underweight (≤20 kg/m²), normal weight/overweight (20.1–29.9 kg/m²), and obese (≥30 kg/m²). The application of World Health Organization classification was precluded on statistical grounds. A subgroup of polytraumatized patients (n = 272) was separately analyzed. Outcomes included the duration of mechanical ventilation, ICU stay, organ failure, and in-hospital mortality. Results: BMI was positively associated with organ failure, especially cardiac (p = 0.001) and pulmonary failure (p = 0.001). The mortality rate was twice as high for obese patients as for underweight patients in the matched cohort (Group III: 10.4%; Group I: 5.2%; p (linear trend) = 0.025). Ventilation time increased significantly with higher BMI (p = 0.012). Conclusion: In this cohort, there was an absence of evidence to support the notion of an "obesity paradox". Overweight and obesity were not associated with improved survival and were instead linked to less favorable intensive care outcomes following severe trauma, although absolute differences in mortality were modest. Trial Registration: ID 2014-021.
| Reference Key |
imported_1768914886_696f7fc6029e5
Use this key to autocite in the manuscript while using
SciMatic Manuscript Manager or Thesis Manager
|
|---|---|
| Authors | Gerbershagen, Mark Ulrich |
| Journal | Frontiers in surgery |
| Year | Year not found |
| DOI |
10.3389/fanes.2026.1740319
|
| URL | |
| Keywords | Keywords not found |
Citations
No citations found. To add a citation, contact the admin at info@scimatic.org
Comments
No comments yet. Be the first to comment on this article.