The impact of body mass index and gender on the development of infectious complications in polytrauma patients

Mica, L.; Keller, C.; Vomela, J.; Trentz, O.; Plecko, M.; Keel, Marius (2014). The impact of body mass index and gender on the development of infectious complications in polytrauma patients. European journal of trauma and emergency surgery, 40(5), pp. 573-579. Springer-Medizin-Verlag 10.1007/s00068-013-0300-8

[img] Text
art%3A10.1007%2Fs00068-013-0300-8.pdf - Published Version
Restricted to registered users only
Available under License Publisher holds Copyright.

Download (197kB) | Request a copy

Purpose The aim was to test the impact of body mass index (BMI) and gender on infectious complications after polytrauma. Methods A total of 651 patients were included in this retrospective study, with an Injury Severity Score (ISS) C16 and age C16 years. The sample was subdivided into three groups: BMI\25 kg/m2, BMI 25–30 kg/m2, and BMI[30 kg/m2, and a female and a male group. Infectious complications were observed for 31 days after admission. Data are given as mean ± standard errors of the means. Analysis of variance, Kruskal–Wallis test, v2 tests, and Pearson’s correlation were used for the analyses and the significance level was set at P\0.05. Results The overall infection rates were 31.0 % in the BMI\25 kg/m2 group, 29.0 % in the BMI 25–30 kg/m2 group, and 24.5 % in the BMI[30 kg/m2 group (P = 0.519). The female patients developed significantly fewer infectious complications than the male patients (26.8 vs. 73.2 %; P\0.001). The incidence of death was significantly decreased according to the BMI group (8.8 vs. 7.2 vs. 1.5 %; P\0.0001) and the female population had a significantly lower mortality rate (4.1 vs. 13.4 %; P\0.0001). Pearson’s correlations between the Abbreviated Injury Scale (AIS) score and the corresponding infectious foci were not significant. Conclusion Higher BMI seems to be protective against polytrauma-associated death but not polytrauma-associated infections, and female gender protects against both polytrauma- associated infections and death. Understanding gender-specific immunomodulation could improve the outcome of polytrauma patients.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery

UniBE Contributor:

Keel, Marius

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1863-9933

Publisher:

Springer-Medizin-Verlag

Language:

English

Submitter:

Stefanie Zurbuchen

Date Deposited:

12 Feb 2015 09:27

Last Modified:

09 Nov 2015 11:28

Publisher DOI:

10.1007/s00068-013-0300-8

BORIS DOI:

10.7892/boris.62953

URI:

https://boris.unibe.ch/id/eprint/62953

Actions (login required)

Edit item Edit item
Provide Feedback