A retrospective analysis of associations between BMI and days spent on mechanical ventilation in a level 1 trauma facility.


Journal

Heart & lung : the journal of critical care
ISSN: 1527-3288
Titre abrégé: Heart Lung
Pays: United States
ID NLM: 0330057

Informations de publication

Date de publication:
Historique:
received: 04 10 2019
revised: 01 03 2020
accepted: 04 03 2020
pubmed: 4 4 2020
medline: 5 3 2021
entrez: 4 4 2020
Statut: ppublish

Résumé

To examine whether BMI impacts the outcomes of mechanically ventilated patients. Data was collected retrospectively among patients involved in motor vehicle accidents in intensive care at a major trauma center in Atlanta, GA. Patients were categorized into five BMI groups: underweight (BMI < 18.5), normal weight (BMI of 18.5-24.9), overweight (BMI of 25-29.9), obese (BMI of 30-39.9), and morbidly obese (BMI of >40). Among all patients (n=2,802), 3% of patients were underweight, 34% were of normal weight, 30% were overweight, 27% were obese, and 6% were morbidly obese. The mean number of ventilator days for normal weight patients was 4.6, whereas the mean number of ventilator days for underweight and morbidly obese patients were higher (10.3 and 7.4, respectively). Underweight and morbidly obese populations may require additional interventions during their ICU stays to address the challenges presented by having an unhealthy BMI.

Identifiants

pubmed: 32241562
pii: S0147-9563(20)30090-X
doi: 10.1016/j.hrtlng.2020.03.003
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

605-609

Informations de copyright

Copyright © 2020 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors have no conflicts of interest.

Auteurs

Kyle J Brandenberger (KJ)

Department of Respiratory Therapy, Georgia State University, 140 Decatur Street P.O. Box 4019, Atlanta, GA 30302-4019, USA. Electronic address: kbradenberger1@gsu.edu.

Rachel Culbreth (R)

Department of Respiratory Therapy, Georgia State University, 140 Decatur Street P.O. Box 4019, Atlanta, GA 30302-4019, USA.

Samuel Shan (S)

Department of Respiratory Therapy, Georgia State University, 140 Decatur Street P.O. Box 4019, Atlanta, GA 30302-4019, USA.

Douglas S Gardenhire (DS)

Department of Respiratory Therapy, Georgia State University, 140 Decatur Street P.O. Box 4019, Atlanta, GA 30302-4019, USA.

Gordon L Warren (GL)

Department of Physical Therapy, Georgia State University, Atlanta, GA, USA.

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Classifications MeSH