Features of abdominal trauma in overweight victims
Keywords:abdominal trauma, overweight, severity of injury, structure of injuries
Background. Due to the high prevalence of overweight and obesity, it is becoming increasingly important to study their impact on the course of critical conditions and injuries. The results of studies regarding the impact of body weight on the mechanisms and consequences of trauma are quite contradictory and this problem requires further investigations. The purpose of the study was to examine the features of abdominal and combined injuries in overweight victims. Material and methods. The severity and structure of injuries depending on the nutritional status were studied in 240 victims with abdominal trauma who were treated in 2017–2020. The average age of patients was 37.1 ± 13.2 years (from 18 to 88 years), they were divided into groups according to the body mass index. Results. It was found that in people with overweight, a combined trauma was less common, but in obesity, multiple abdominal trauma occurred more often. The frequency and severity of injuries of some abdominal organs did not differ significantly between groups, with a tendency to less frequent detection of liver ruptures. Victims with abdominal trauma were less likely to have thoracic injuries that were less severe, and also rib fractures and lung ruptures were less common. Combined traumatic brain injury was less common; severe traumatic brain injury and skeletal traumas were less frequent as well. Conclusions. In the structure of overweight victims, the share of women and patients aged 45 years and older has increased, especially in the group of obese individuals. In this group, there is also a tendency to an increase in the incidence of cardiovascular pathology and a significant increase in the incidence of bronchopulmonary diseases. Overweight victims with abdominal trauma have a higher frequency of multiple injuries of the abdominal organs, but combined, thoracic and craniocerebral trauma and severe injuries are less frequent in them. The impact of overweight and obesity on the features of primary injury should be taken into account when determining treatment regimen.
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