Obesity spells problems for trauma patients

November 18, 2015

ROSEMONT, Ill.--A new study appearing in the November 18 issue of the Journal of Bone & Joint Surgery(JBJS) found a link between obesity and a higher risk for surgery in orthopaedic trauma patients. In addition, researchers found that patients with obesity had longer hospital stays and greater treatment costs. They were also more likely to be discharged to a care facility, rather than to home.

Obesity affects more than 38 percent of the American population. In this study, researchers used computer tomography (CT) scans to measure truncal body mass index (BMI)--body fat volume in a patient's midsection. They sought to determine whether a possible relationship existed between obesity and an increasing health care burden in patients with multiple orthopaedic traumas.

Researchers identified 301 patients with multiple orthopaedic injuries at a Level I trauma center from 2006 to 2011. Patients with a truncal BMI of less than 30 kg/m2 were categorized as non-obese, and those who measured more than 30 kg/m2 were considered obese.

The patients with obesity were further divided into two classes. Class I included patients with a truncal BMI between 30 kg/m2 and 35 kg/m2; those with a truncal BMI greater than 35 kg/m2 were in Class II.

Their analysis showed the following: "Overall this study found an association between obesity and increased rates of lower-extremity injuries and orthopaedic surgery," said study lead author and orthopaedic surgeon Heather Licht, MD. "Obese patients had higher total hospital charges, longer intensive care unit and total hospital stays, and decreased rate of discharge.

"Even when patients have the same severity of injuries, resource utilization is higher among patients with obesity, compared to non-obese patients," explained Dr. Licht.
-end-
Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution) from a third-party in support of any aspect of this work. None of the authors, or their institution(s), have had any financial relationship in the 36 months prior to submission of this work, with any entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, no author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in his work.

American Academy of Orthopaedic Surgeons

Related Obesity Articles from Brightsurf:

11 years of data add to the evidence for using testosterone therapy to treat obesity, including as an alternative to obesity surgery
New research covering 11 years of data presented at this year's European and International Congress on Obesity (ECOICO 2020) show that, in obese men suffering from hypogonadism (low testosterone), treatment with testosterone injections lowers their weight and improves a wide range of other metabolic parameters.

Overlap between immunology of COVID-19 and obesity could explain the increased risk of death in people living with obesity, and also older patients
Data presented in a special COVID-19 session at the European and International Congress on Obesity (ECOICO 2020) suggests that there are overlaps between the immunological disturbances found in both COVID-19 disease and patients with obesity, which could explain the increased disease severity and mortality risk faced by obese patients, and also elderly patients, who are infected by the SARS-CoV-2 virus that causes COVID-19 disease.

New obesity guideline: Address root causes as foundation of obesity management
besity management should focus on outcomes that patients consider to be important, not weight loss alone, and include a holistic approach that addresses the root causes of obesity, according to a new clinical practice guideline published in CMAJ (Canadian Medical Association Journal) http://www.cmaj.ca/lookup/doi/10.1503/cmaj.191707.

Changing the debate around obesity
The UK's National Health Service (NHS) needs to do more to address the ingrained stigma and discrimination faced by people with obesity, says a leading health psychologist.

Study links longer exposure to obesity and earlier development of obesity to increased risk of type 2 diabetes
Cumulative exposure to obesity could be at least as important as actually being obese in terms of risk of developing type 2 diabetes (T2D), concludes new research published in Diabetologia (the journal of the European Association for the Study of Diabetes [EASD]).

How much do obesity and addictions overlap?
A large analysis of personality studies has found that people with obesity behave somewhat like people with addictions to alcohol or drugs.

Should obesity be recognized as a disease?
With obesity now affecting almost a third (29%) of the population in England, and expected to rise to 35% by 2030, should we now recognize it as a disease?

Is obesity associated with risk of pediatric MS?
A single-center study of 453 children in Germany with multiple sclerosis (MS) investigated the association of obesity with pediatric MS risk and with the response of first-line therapy in children with MS.

Women with obesity prior to conception are more likely to have children with obesity
A systematic review and meta-analysis identified significantly increased odds of child obesity when mothers have obesity before conception, according to a study published June 11, 2019 in the open-access journal PLOS Medicine by Nicola Heslehurst of Newcastle University in the UK, and colleagues.

Obesity medicine association announces major updates to its adult obesity algorithm
The Obesity Medicine Association (OMA) announced the immediate availability of the 2019 OMA Adult Obesity Algorithm, with new information for clinicians including the relationship between Obesity and Cardiovascular Disease, Diabetes Mellitus, Dyslipidemia, and Cancer; information on investigational Anti-Obesity Pharmacotherapy; treatments for Lipodystrophy; and Pharmacokinetics and Obesity.

Read More: Obesity News and Obesity Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.