Pucher Philip H, Tanno Lulu, Hewage Kalon, Bagnall N Mark
Department of Surgery and Cancer, Imperial College London, St. Mary's Hospital, 10th Floor QEQM, South Wharf Rd, Paddington, W2 1NY, London, United Kingdom.
Department of Surgery, Southampton General Hospital, Tremona Road, Southampton, Hampshire SO16 6YD, United Kingdom.
Injury. 2017 May;48(5):1058-1062. doi: 10.1016/j.injury.2017.02.027. Epub 2017 Feb 24.
The growing incidence of obesity in Western populations continues to place new stressors on health systems. Obese trauma patients present particular challenges across the entirety of the patient care pathway, and are at risk of higher lengths of stay, morbidity, and mortality. This study sought to assess a national group of trauma experts' opinions and knowledge regarding the management of obese trauma.
A questionnaire was circulated to a trauma training providers and national steering committee members at a UK national Advance Trauma Life Support meeting. Demographic, knowledge, and opinion data was collected and collated for analysis.
109 questionnaires were returned (73% response rate). Broad agreement was reached that obese trauma patients were more challenging to manage (96.2% agreement) and suffered worse outcomes (89.9%). Only 22.2% felt their hospitals possessed appropriate resources to facilitate management. Up to a third of respondents had personally witnesses errors in care due to patient obesity. 90% believed specialist training for obese trauma could improve care.
There is broad consensus amongst UK trauma providers that obese trauma patients are at risk of poorer outcomes and errors in care. Knowledge and preparedness of centres to manage these patients is variable. There was broad consensus that specialist training for the management of obese trauma patients may improve outcomes.
