AI Article Synopsis
- Obesity is linked to higher rates of thromboembolic complications in elderly trauma patients, as revealed by a study analyzing over 119,000 patients aged 65 and older from 2017 to 2019.
- The research found that 26.8% of these patients were obese, and complications like stroke, myocardial infarction, deep vein thrombosis, and pulmonary embolism were significantly more common in obese individuals.
- The study concluded that obese geriatric trauma patients have an elevated risk for these serious complications compared to those who are non-obese.
Article Abstract
Background: Obesity is a known risk factor for thromboembolic complications in trauma patients. The aim of our study is to evaluate the prevalence of thrombotic complications in obese geriatric patients.
Methods: We performed a retrospective analysis of TQIP (2017-2019). A total of 119,906 patients≥65 years who sustained severe trauma were included. Primary outcomes were thrombotic complications including stroke/cerebrovascular accidents (CVA), myocardial infarction (MI), deep vein thrombosis (DVT) and pulmonary embolism (PE). Outcomes were compared between patients with obesity (BMI≥30 kg∖m) and overweight (25 kg∖m≤BMI<30 kg∖m) and normal weight (19 kg∖m≤BMI<25 kg∖m) patients.
Results: A total number of 30,356 (26.8 %) patients were obese. All clotting complications (stroke/CVA, MI, DVT and PE) were significantly more frequent among obese patients (p < 0.001for all). Multivariate logistic regression showed that obese patients had significantly increased odds of stroke/CVA (OR = 1.207), MI (OR = 1.301), DVT (OR = 1.311) and PE (OR = 1.241) (p < 0.001 for all).
Conclusion: Obese geriatric patients who sustain severe traumatic injuries are at increased risk of thromboembolic complications compared to non-obese patients.
Level Of Evidence: Level III retrospective study.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.amjsurg.2024.116139 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!