Features of abdominal trauma in overweight victims


  • M. Gogiya V.N. Karazin Kharkiv National University, Kharkiv, Ukraine
  • M. Vodka V.N. Karazin Kharkiv National University, Kharkiv, Ukraine




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.


Download data is not yet available.


Afshin A., Forouzanfar M.H., Reitsma M.B., Sur P. Health effects of overweight and obesity in 195 countries over 25 years. N. Engl. J. Med. 2017. 377. 13-27. doi: 10.1056/NEJMoa1614362

Fatica F., Geraci G., Puzhlyakov V., Modica G., Cajozzo M. The effect of body mass index on chest trauma severity and prognosis. Ann. Ital. Chir. 2017 Nov 14. 88(5). 289-391. Available on: https://pubmed.ncbi.nlm.nih.gov/29170362

Ng M., Fleming T., Robinson M., Thomson B., Graetz N., Margono C. et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014. 384(9945). 766-81. doi: 10.1016/s0140-6736(14)60460-8

Krakauer N.Y., Krakauer J.C. Anthropometrics, metabolic syndrome, and mortality hazard. J. Obes. 2018 Jul 12. 2018. 9241904. doi: 10.1155/2018/9241904

Global burden of 87 risk factors in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020. 396. 1223-49. doi: 10.1016/S0140-6736(20)30752-2.

Desapriya E., Giulia S., Subzwari S., Peiris D.C., Turcotte K., Pike I., Sasges D., Hewapathirane D.S. Does obesity increase the risk of injury or mortality in motor vehicle crashes? A systematic review and meta-analysis. Asia Pac. J. Public. Health. 2014. 26(5). 447-60. doi: 10.1177/1010539511430720

Liu T., Chen J.J., Bai X.J., Zheng G.S., Gao W. The effect of obesity on outcomes in trauma patients: a meta-analysis. Injury. 2013 Sep. 44(9). 1145-52. doi: 10.1016/j.injury.2012.10.038

Durgun H.M., Dursun R., Zengin Y., Özhasenekler A., Orak M., Üstündağ M., Güloğlu C. The effect of body mass index on trauma severity and prognosis in trauma patients. Ulus Travma Acil Cerrahi Derg. 2016. 22. 5. 457-465. doi: 10.5505/tjtes.2016.93385

Fu C.Y., Bajani F., Butler C., Welsh S., Messer T., Kaminsky M. et al. Morbid obesity’s silver lining: an armor for hollow viscus in blunt abdominal trauma. World J. Surg. 2019. 43(4). 1007-1013. doi: 10.1007/s00268-018-4872-7

Chen A.K., Jeffcoach D., Stivers J.C., McCullough K.A., Dirks R.C., Boehnke R.J. et al. The impact of obesity on severity of solid organ injury in the adult population at a Level I trauma center. Trauma Surg. Acute Care Open. 2019. 4(1). e000318. doi: 10.1136/tsaco-2019-000318

Stroud T., Bagnall N.M., Pucher P.H. Effect of obesity on patterns and mechanisms of injury: Systematic review and meta analysis. Int. J. Surg. 2018 Aug. 56. 148-154. doi: 10.1016/j.ijsu.2018.05.004

Toevs C.C. Trauma in obese patients. Crit. Care Clin. 2010 Oct. 26(4). 689-93. doi: 10.1016/j.ccc.2010.06.010



How to Cite

Gogiya, M., & Vodka, M. (2022). Features of abdominal trauma in overweight victims. EMERGENCY MEDICINE, 18(2), 50–54. https://doi.org/10.22141/2224-0586.18.2.2022.1474



Original Researches