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Obesity is associated with a reduced odds for blunt intra-abdominal injuries in children

Elizabeth A Camp1, Andrea T Cruz1, Rohit P Shenoi1

  • 1Department of Pediatrics, Section of Emergency Medicine, Baylor College of Medicine, Houston, Texas, USA.

Obesity Research & Clinical Practice
|February 8, 2020
PubMed

Insights

Children with obesity had lower odds of intra-abdominal injuries (IAIs) and CT scans in emergency care. Ultrasound (US) use showed no association with obesity status in pediatric trauma patients.

Area of Science:

  • Pediatric Emergency Medicine
  • Trauma Surgery
  • Obesity Research

Background:

  • Children with obesity may have unique injury patterns impacting emergency care.
  • Understanding the relationship between pediatric obesity and trauma outcomes is crucial.

Purpose of the Study:

  • To investigate the association between obesity in pediatric trauma patients and intra-abdominal injuries (IAIs).
  • To examine the relationship between pediatric obesity and the utilization of computed tomography (CT) scans and ultrasound (US) examinations in the emergency department (ED).

Main Methods:

  • Secondary data analysis of Pediatric Emergency Care Applied Research Network (PECARN) data (2007-2010).
  • Obesity defined using weight-for-age percentiles for children aged 2-17 years.
  • Binary logistic regression used to calculate adjusted odds ratios (aOR) for weight status, IAIs, and diagnostic procedures.

Main Results:

  • Children with obesity (14.2%) had decreased odds for IAI (aOR=0.58; p=0.04) and CT scans.
  • No association was found between obesity status and ultrasound (US) utilization.
  • African-American patients showed decreased odds for IAIs, CT, and US, potentially linked to mechanical force injury (MFI) type.

Conclusions:

  • Obesity in pediatric trauma patients is associated with reduced odds of intra-abdominal injuries (IAIs) and CT scans.
  • Ultrasound (US) utilization was not significantly associated with obesity status.
  • Further research is needed to explore these associations in diverse pediatric populations and injury types.
Abstract

Keywords:
Abdominal injuriesBlunt injuriesDiagnostic imagingEmergency medicineObesityPediatrics

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