The Influence of Obesity on Treatment and Outcome of Severely Burned Patients
Abstract
Obesity and the related medical, social, and economic impacts are relevant multifactorial and chronic conditions that also have a meaningful impact on outcomes following a severe injury, including burns. In addition to burn-specific difficulties, such as adequate hypermetabolic response, fluid resuscitation, and early wound coverage, obese patients also present with common comorbidities, such as arterial hypertension, diabetes mellitus, or nonalcoholic fatty liver disease. In addition, the pathophysiologic response to severe burns can be enhanced. Besides the increased morbidity and mortality compared to burn patients with normal weight, obese patients present a challenge in fluid resuscitation, perioperative management, and difficulties in wound healing. The present work is an in-depth review of the current understanding of the influence of obesity on the management and outcome of severe burns.
Document Details
- Document Type
- Pub Defense Publication
- Publication Date
- Jul 10, 2019
- Source ID
- 10.1093/jbcr/irz115
Entities
People
- Christian Tapking
- Christoph Hirche
- Daniel Popp
- David N. Herndon
- Gabriel Hundeshagen
- Karl-friedrich Kowalewski
- Khosrow S Houschyar
- Ludwik K. Branski
- Steven E. Wolf
- Victoria G. Rontoyanni
Organizations
- Heidelberg University
- Medical University of Graz
- Ruhr University Bochum
- Shriners Hospitals for Children
- United States Department of Defense
- University of Texas Medical Branch