ReviewJournal of clinical medicine2020
The Effect of an Abnormal BMI on Orthopaedic Trauma Patients: A Systematic Review and Meta-Analysis.
Review in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- The efficacy of enhanced recovery program compared to routine care for patients undergoing knee replacement surgery: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2025Pooled it
- Electric bicycle versus conventional bicycle crashes: comparative analysis of injury patterns, severity, and the modifying effect of body mass index.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Kinesiophobia and knee biomechanical characteristics in patients with postoperative tibial plateau fractures across body mass index categories: a cross-sectional mediation analysis.Journal of orthopaedic surgery and research · 2026Article
- Clinical outcomes of humeral shaft fractures managed with intramedullary K-wires: A closed reduction approach.World journal of orthopedics · 2026Article
- Development and Preliminary Application of a Beak Development Index in Pathogenicity Studies of Novel Goose Parvovirus.Veterinary sciences · 2025Article
- Risk factors for reoperation following operative fixation of patella fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Article
- Are we giving too much weight to lean mass loss?Molecular metabolism · 2025Review
- Body Mass Index and Outcomes After Pilon Fracture Fixation: A Retrospective Cohort Study.Foot & ankle orthopaedics · 2025Article
- Hydrogel-Based Vitreous Substitutes.International journal of molecular sciences · 2025Review
- Observational
- Fracture characteristics and functional outcomes for Schatzker V/VI bicondylar tibial plateau fractures with a separate tubercle fragment: a comparative study.Archives of orthopaedic and trauma surgery · 2025Article
- Perioperative Hyperglycemia is an Independent Risk Factor for Venous Thromboembolism Events After Operative Treatment of Geriatric Femur Fractures.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- Development and temporal external validation of a novel nomogram for predicting one-year mortality in the older adult with hip fracture.Frontiers in medicine · 2025Article
- Underweight patients experience higher inpatient complication and mortality rates following acetabular fracture.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Obesity classification predicts early complications and mortality after acetabular fracture.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Development of early complications after treatment of trochanteric fractures with an intramedullary sliding hip screw in a geriatric population.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Treatment of tibial shaft nonunion with a retained nail in morbidly obese patients.International orthopaedics · 2022Article
- Multicenter evaluation of therapeutic strategies of inpatients with osteoporotic vertebral fractures in Germany.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Are the rib fracture score and different computed tomography measures of obesity predictors for mortality in patients with rib fractures? A retrospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsThe aim of this systemic review is to identify the complications that arise in operating on orthopaedic trauma patients with an abnormal body mass index (BMI). MATERIALS AND
methodsSystematic literature search using a combination of MESH subject headings and free text searching of Medline, Embase, SCOPUS and Cochrane databases in August 2019. Any orthopaedic injury requiring surgery was included. Papers were reviewed and quality assessed by two independent reviewers to select for inclusion. Where sufficiently homogenous, meta-analysis was performed.
resultsA total of 26 articles (379,333 patients) were selected for inclusion. All complications were more common in those with a high BMI (>30). The odds ratio (OR) for high BMI patients sustaining post-operative complication of any type was 2.32 with a 23% overall complication rate in the BMI > 30 group, vs. 14% in the normal BMI group (
conclusionAlmost all complications are more common in trauma patients with a raised BMI. This should be made clear during the consent process, and strategies developed to reduce these risks where possible. Unlike in elective surgery, BMI is a non-modifiable risk factor in the trauma context, but an awareness of the complications should inform clinicians and patients alike. Underweight patients have a higher risk of developing cardiac complications than either high or normal BMI patient groups, but as few studies exist, further research into this group is recommended.
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What OpenQuestion holds
Registered trials
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.