Obesity in G60 Trauma Patients
Obesity in G60 Trauma Patients
Obesity is a national epidemic that affects all aspects of health care, including trauma
 care. According to the Centers for Disease Control and Prevention, 1% of US adults 20 years
 old and older are obese (body mass index [BMI], calculated as weight in kilograms divided by
 height in meters squared, > 30), and 69% are overweight (BMI > 25) (1, 2). Obesity is a major
 health concern because of its established relationship with serious medical diseases and
 increased likelihood of comorbid conditions (eg, diabetes mellitus, hyperlipidemia, heart
 disease, pulmonary disease) (3). As the number of obese adults continues to increase, the
 potential number of obese trauma patients with severe injury and complications will also
 increase (3). Management of prehospital and in-hospital trauma care, including complications
 associated with airway management, surgical procedures, and radiological imaging, of obese
 patients can be challenging. However, published reports on how obesity complicates hospital
 stays after trauma are conflicting (4, 5). Several studies have indicated that obese trauma
 patients are more likely than non-obese patients to have longer stays in the intensive care
 unit (ICU) and hospital, more days of mechanical ventilation, more complications, and
 comorbid conditions, and higher mortality (6,7,8). Other studies have indicated no
 differences between obese and nonobese patients in mortality, length of stay in the ICU and
 the hospital, duration of mechanical ventilation, complications, or comorbid conditions (9).
 Accordingly, the main aim of this study is to investigate and compare hospital course,
 clinical outcomes, disposition, and the cost of treatment between geriatric obese and
 non-obese patients hospitalized for treatment of traumatic injuries.
This proposed research is a retrospective chart review to determine if trauma patients with
 different body mass indexes differed in hospital course, clinical outcomes, disposition, and
 the cost of treatment.

 Records of trauma patients who were admitted to MHS between January1st 2006 and June 30th
 2016 will be retrieved to review the clinical charts according to the investigator's
 inclusion and exclusion criteria.

 Basic demographics and clinical outcomes parameters as noted above will be attained from the
 patient's medical records.
Inclusion Criteria:

 1. Male and female patient's ≥ 60 years of age.

 2. Blunt and penetration injury.

 Exclusion Criteria:

 1. Pregnant and breastfeeding women.

 2. Patients < 60 years of age