Evidence map›Paper›PMID 24023413›Full record

ArticleMediators of inflammation2013

Impact of the body mass on complications and outcome in multiple trauma patients: what does the weight weigh?

Hagen Andruszkow, Juliane Veh, Philipp Mommsen, Christian Zeckey, Frank Hildebrand, Michael Frink

Abstract read
In one paragraph

Article in Mediators of inflammation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Impact of pathologic body composition assessed by CT-based anthropometric measurements in adult patients with multiple trauma: a retrospective analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Mechanism of injury and treatment of trauma-associated acute compartment syndrome of the foot.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2014
    Article
  16. [Quality of life after multiple trauma].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2014
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Hagen AndruszkowDepartment of Trauma and Reconstructive Surgery, University Hospital Aachen, Pauwelsstraße 30, 52074 Aachen, Germany.
Juliane Veh
Philipp Mommsen
Christian Zeckey
Frank Hildebrand
Michael Frink

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Obesity is known as an independent risk factor for various morbidities. The influence of an increased body mass index (BMI) on morbidity and mortality in critically injured patients has been investigated with conflicting results. To verify the impact of weight disorders in multiple traumatized patients, 586 patients with an injury severity score >16 points treated at a level I trauma center between 2005 and 2011 were differentiated according to the BMI and analyzed regarding morbidity and outcome. Plasma levels of interleukin- (IL-) 6 and C-reactive protein (CRP) were measured during clinical course to evaluate the inflammatory response to the "double hit" of weight disorders and multiple trauma. In brief, obesity was the highest risk factor for development of a multiple organ dysfunction syndrome (MODS) (OR 4.209, 95%-CI 1.515-11.692) besides injury severity (OR 1.054, 95%-CI 1.020-1.089) and APACHE II score (OR 1.059, 95%-CI 1.001-1.121). In obese patients as compared to those with overweight, normal weight, and underweight, the highest levels of CRP were continuously present while increased systemic IL-6 levels were found until day 4. In conclusion, an altered posttraumatic inflammatory response in obese patients seems to determine the risk for multiple organ failure after severe trauma.

Indexed as

Body Mass IndexAdiponectinAdolescentAdultBiomarkersC-Reactive ProteinFemaleHumansInflammationInterleukin-6MaleMiddle AgedMultiple Organ FailureMultiple TraumaMultivariate AnalysisObesityAdiponectinBiomarkersC-Reactive ProteinInterleukin-6

Identifiers

PMID24023413
PMCPMC3760114

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.