Comparison of obese and non-obese patients in terms of sharp object injuries: A retrospective evaluation

Comparison of obese and non-obese patients in terms of sharp object injuries: A retrospective evaluation

Aim: In our study, we aimed to investigate the effect of BMI on surgical treatments and general outcomes, as well as on the severityof the injury caused by the sharp object. From an anatomical point of view, increased body mass index (BMI) is expected to have aprotective effect in limiting organ damage in the case of sharp object injuries.Material and Methods: Data of the patients with penetrating abdominal injuries who applied to the emergency service of theUniversity between January 2015 and January 2020 were analyzed retrospectively. Patients’ ages, genders, body mass indexes(BMIs), needs for surgical intervention, injury severity scores (ISS) and mortality were evaluated. Patients were divided into 2 groups:obese patients (BMI>30; Group1) and non-obese patients (BMI

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  • 1. Søreide K. Epidemiology of major trauma. Br J Surg. 2009;96:697–8
  • 2. Balcı H, Küçükkendirci H Obezite Ve Obezite Cerrahisinde Beslenme. Turkish Journal of Scientific Reviews 2019;12:45-50.
  • 3. Glance LG, Li Y, Osler TM, et al. Impact of obesity on mortality and complications in trauma patients. Ann Surg 2014;259:576–81.
  • 4. Alban RF, Lyass S, Margulies DR, et al. Obesity does not affect mortality after trauma. Am Surg 2006;72:966– 9.
  • 5. Sweigert PJ, Chen C, Fahmy JN, et al . Association of obesity with postoperative outcomes after proctectomy. Am J Surg Published Online: 25 March 2020
  • 6. Liu T, Chen JJ, Bai X, et al. The effect of obesity on outcomes in trauma patients: a meta-analysis. Injury 2013;44:1145–52.
  • 7. Brahmbhatt TS, Hernon M, Siegert CJ, et al. Trauma and BMI mortality. Curr Obes Rep 2017;6:211-16.
  • 8. Choban PS, Weireter LJ Jr, Maynes C. Obesity and increased mortality in blunt trauma. J Trauma 1991;31:1253.-57
  • 9. Bloom MB, Ley EJ, Liou DZ, et al. Impact of body mass index on injury in abdominal stab wounds: implications for management. J Surg Res 2015;197: 162-6.
  • 10. Como JJ, Bokhari F, Chiu WC, et al. Practice management guidelines for selective nonoperative management of penetrating abdominal trauma. J Trauma 2010;68:721-33.
  • 11. Butt MU, Zacharias N, Velmahos GC. Penetrating abdominal injuries: management controversies. Scand J Trauma Resusc Emerg Med 2009;17:1-7
  • 12. Karateke F, Özyazıcı S, Daş K, et al. General approach to penetrating abdominal traumas of Turkish general surgeons: survey of practice. Ulus Travma Acil Cerrahi Derg 2013;19:463-8
  • 13. Talih T, Gök M, Sözüer E, et al. The Presence of Hemorrhagic Shock on Admission Is the Strongest Predictor of Mortality in Trauma Patients Who Require Packing. Indian J Surg 2019;1:1-6.
  • 14. Biffl WL, Leppaniemi A Management guidelines for penetrating abdominal trauma. World J Surg 2015;39:1373-80.
  • 15. Ditillo M, Pandit V, Rhee P et al . Morbid obesity predisposes trauma patients to worse outcomes: a National Trauma Data Bank analysis. J Trauma Acute Care Surg 2014;76:176-9.
  • 16. Rupp JD, Flannagan CA, Leslie AJ, et al. Effects of BMI on the risk and frequency of AIS 3+ injuries in motorvehicle crashes. Obesity (Silver Spring) 2013;21:88- 97.
  • 17. Osborne Z, Rowitz B, Moore H, et al. Obesity in trauma: outcomes and disposition trends. Am J Surg 2014;207:387-92.
  • 18. Serio F, Fujii Q, Shah K, et al. Effects of body mass index on outcome measures of the patients with penetrating injuries; a single center experience Bull Emerg Trauma 2018;6:325-8.
Annals of Medical Research-Cover
  • Yayın Aralığı: 12
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi
Sayıdaki Diğer Makaleler

Evaluation of anatomy courses in the faculty of dentistry in line with the views of academic staff and exam performance of students

Mustafa CANBOLAT, Numan TATAR

An evaluation of neglected tumors: Giant basal cell carcinomas

Alper URAL, Özgür AYDOĞAN

Comparison of obese and non-obese patients in terms of sharp object injuries: A retrospective evaluation

Uğur TOPAL, Erdoğan Mütevelli SÖZÜER, Tutkun TALİH, Hızır Yakup AKYILDIZ

Comparative amelioration of renal histomorphology by ascorbic acid and Camellia sinensis extract in Wistar rats exposed to Lead-induced nephropathy

Dayo Rotimi OMOTOSO, Winners Prince EHIEMERE, Wasiu Mathew OWONIKOKO

An investigation of the use of SCUBE1 protein as an early prognostic marker in predicting prognosis after cardiopulmonary resuscitation in cardiac arrest patients

Ahmet MENTEŞE, Ali AYGÜN, Gürkan ALTUNTAŞ, Faruk ÖZŞAHİN, Özgür TATLI, Süleyman TÜREDİ, Selim DEMİR, Ahmet Ali TOP, Şenol ARDIÇ, Betül ABANOZ

A rare cause of acute abdominal pain: Torsion of wandering spleen

Uğur TOPAL, Kubilay DALCI

An 8 Years' experience in surgical treatment of anal fistula

Selçuk GÜLMEZ

Complete Blood Count parameters could predict malignancy in breast lesions

Bahri ÖZER, Oğuz ÇATAL, Songül PELTEK ÖZER, Fatih KEYİF, Mustafa ŞİT, Nuri KAMA

A severe adrenal crisis occurred in late diagnosed Sheehan’s syndrome developed in a 17-year-old woman

Ayşegül ERTINMAZ ÖZKAN, Nurhayat ÖZKAN SEVENCAN, Seda EREM BASMAZ, Burçak KAYHAN

Prognostic significance of poorly differentiated cluster grading system in intestinal type gastric adenocarcinoma

Emine ŞAMDANCI, Nusret AKPOLAT, Semra GÜRÜNLÜOĞLU, Nurhan ŞAHİN, Hasan GÖKÇE, Ahmet Kadir ARSLAN