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The Heavy Burden of Obesity on Trauma Care in West Virginia

The Heavy Burden of Obesity on Trauma Care in West Virginia. Jason Turner MD, Jennifer Knight MD, Fawad Khan MD, Glenn Warden MD, Jane Channel RN, Alison Wilson MD, Gregory Schaefer DO WVU Hospitals Jon Michael Moore Trauma Center West Virginia University Department of Surgery

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The Heavy Burden of Obesity on Trauma Care in West Virginia

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  1. The Heavy Burden of Obesity on Trauma Care in West Virginia Jason Turner MD, Jennifer Knight MD, Fawad Khan MD, Glenn Warden MD, Jane Channel RN, Alison Wilson MD, Gregory Schaefer DO WVU Hospitals Jon Michael Moore Trauma Center West Virginia University Department of Surgery Division of Trauma and Critical Care

  2. Relavance to West Virginia • Obesity- West Virginia is #1 • 34% of West Virginians are Obese • 33% of Adult Trauma admission at the JMMTC are Obese • Prevalence of Obesity is increasing • Trauma is the leading cause of death in people ages 1 to 45

  3. Obesity Trends* Among U.S. AdultsBRFSS, 1992 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  4. Obesity Trends* Among U.S. AdultsBRFSS, 1999 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  5. Obesity Trends* Among U.S. AdultsBRFSS, 2009 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  6. Purpose • To evaluate the impact of obesity on outcomes in trauma patients • Demographic • Clinical • Social • Financial

  7. Methods • Retrospective Cohort Study • WVU Trauma Database from 2009-2010 • All Consecutive Adult Trauma Admissions • 3180 total • 2 Cohorts • Obese, Non-Obese

  8. Cohort Comparison • Obese (OB, BMI ≥ 30 Kg/m2) • 1042 patients • Non-Obese (NO, BMI < 30 Kg/m2) • 2138 patients

  9. Cohort Comparison • Obese vs. Non-Obese • Mortality • ICU Days • Hospital Days • Ventilator Days • ISS • AIS • Cost of Care • Need for inpatient rehab • Workers Comp Claim Submissions

  10. Statistical Analysis • Univariate analysis was performed on all data sets • Students t test used for outcome variables • Chi-Squared test used for Categorical variables • p< 0.05

  11. Results Demographic Data

  12. Results

  13. Results

  14. Discussion • Mortality • Morbidity • Inherent Challenges • Cost • Primary • Secondary • Hospital • Personal • Employer • Trauma Outcome Measures • Future

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