NYMC Faculty Publications

Obesity Portends an Increased Risk of Thromboembolic Events in Severely Injured Geriatric Trauma, a Retrospective Study

Author Type(s)

Faculty, Resident/Fellow, Student

DOI

10.1016/j.amjsurg.2024.116139

Journal Title

American Journal of Surgery

Document Type

Article

Publication Date

2-1-2025

Department

Surgery

Keywords

Acute care surgery, Geriatric trauma, Obesity, Thromboembolism

Disciplines

Medicine and Health Sciences

Abstract

Background: Obesity is a known risk factor for thromboembolic complications in trauma patients. The aim of our study is to evaluate the prevalence of thrombotic complications in obese geriatric patients. Methods: We performed a retrospective analysis of TQIP (2017–2019). A total of 119,906 patients≥65 years who sustained severe trauma were included. Primary outcomes were thrombotic complications including stroke/cerebrovascular accidents (CVA), myocardial infarction (MI), deep vein thrombosis (DVT) and pulmonary embolism (PE). Outcomes were compared between patients with obesity (BMI≥30 ​kg∖m2) and overweight (25 ​kg∖m2≤BMI<30 ​kg∖m2) and normal weight (19 ​kg∖m2≤BMI<25 ​kg∖m2) patients. Results: A total number of 30,356 (26.8 ​%) patients were obese. All clotting complications (stroke/CVA, MI, DVT and PE) were significantly more frequent among obese patients (p ​< ​0.001for all). Multivariate logistic regression showed that obese patients had significantly increased odds of stroke/CVA (OR ​= ​1.207), MI (OR ​= ​1.301), DVT (OR ​= ​1.311) and PE (OR ​= ​1.241) (p ​< ​0.001 for all). Conclusion: Obese geriatric patients who sustain severe traumatic injuries are at increased risk of thromboembolic complications compared to non-obese patients. Level of evidence: Level III retrospective study.

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