The Influence of Obesity on Treatment and Outcome of Severely Burned Patients.
Anesthesia
Burns
/ complications
Cardiovascular Diseases
/ complications
Dyspnea
/ complications
Gastrointestinal Motility
Humans
Inflammation
/ complications
Length of Stay
Liver Diseases
/ complications
Mental Disorders
/ complications
Metabolic Diseases
/ complications
Nutritional Status
Obesity
/ complications
Patient Care Team
Pharmacokinetics
Pneumonia
/ etiology
Rehabilitation
Respiration, Artificial
/ adverse effects
Risk Factors
Sleep Apnea, Obstructive
/ complications
Stress, Physiological
Thromboembolism
/ etiology
Wound Healing
Journal
Journal of burn care & research : official publication of the American Burn Association
ISSN: 1559-0488
Titre abrégé: J Burn Care Res
Pays: England
ID NLM: 101262774
Informations de publication
Date de publication:
16 10 2019
16 10 2019
Historique:
pubmed:
12
7
2019
medline:
15
12
2020
entrez:
12
7
2019
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 31294797
pii: 5531120
doi: 10.1093/jbcr/irz115
doi:
Types de publication
Journal Article
Research Support, U.S. Gov't, Non-P.H.S.
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
996-1008Informations de copyright
© The Author(s) 2019. Published by Oxford University Press on behalf of the American Burn Association. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.