Zusammenfassung
Die Polytraumasterblichkeit ist seit Jahren rückläufig. Da die Prävalenz der Adipositas in den letzten Jahren deutlich gestiegen ist, finden sich übergewichtige und adipöse Patienten auch zunehmend im Kollektiv polytraumatisierter Patienten. Der „Body-Mass-Index“ ermöglicht Rückschlüsse auf den Ernährungszustand. In der Literatur werden unterschiedliche Einflüsse des Ernährungszustands auf das traumatologische Outcome beschrieben. Neben Adipositas ist auch Untergewicht mit erhöhter Mortalität assoziiert. Untergewichtige Patienten zeigen eine erhöhte frühe Polytraumamortalität, während adipöse Patienten eine erhöhte Inzidenz von Multiorganversagen und Sepsis sowie eine späte Polytraumasterblichkeit aufweisen.
Abstract
Polytrauma mortality rates are continuously decreasing over the last years. Due to rising prevalence of obesity, patients with overweight and obesity are rising in numbers within the polytrauma collective. The body mass index (BMI) provides information about the nutritional status. Varying results have been reported concerning the effect of BMI on polytrauma outcome. Both obesity and underweight are independent risk factors for increased polytrauma mortality. While underweight is associated with early polytrauma mortality, obesity shows higher rates of multi organ failure and sepsis and is associated with late polytrauma mortality.
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Hoffmann, M., Rueger, J. Traumatologisches Outcome in Abhängigkeit vom Ernährungszustand. Unfallchirurg 114, 968–972 (2011). https://doi.org/10.1007/s00113-011-2034-6
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DOI: https://doi.org/10.1007/s00113-011-2034-6