University of Arizona College of Medicine-Phoenix, AZ, USA.
J Intensive Care Med. 2022 Mar;37(3):293-303. doi: 10.1177/0885066621989978. Epub 2021 Mar 5.
A systematic review and meta-analysis were done to evaluate the effect of obesity in injury and mortality due to motor vehicle accidents.
MATERIALS & METHODS: The systematic review consisted of 20 studies meeting the inclusion criteria. The meta-analysis was conducted on these studies to analyze obesity as a risk factor for specific injuries, as well as overall injury and mortality compared to non-obese patients.
The data revealed that obesity was associated with increased lower extremity injuries (odds ratio [OR] = 1.44, 95% confidence interval [CI] = 1.19-1.69, P ≤ 0.05), neck injuries (OR = 3.38, 95% CI = 1.58-5.19, P ≤ 0.05), and overall mortality (OR = 1.51, 95% CI = 1.40-1.61, P ≤ 0.05). When stratified for obesity class with class I as BMI >30.1-34.9, class II BMI 35-39.9, and class III BMI >40, only class II (OR = 1.20, 95% CI = 1.15-1.24, P ≤ 0.05) and class III (OR = 1.49, 95% CI = 1.30-1.68, P ≤ 0.05) were associated with increased mortality risk. No significant differences were seen with head, upper extremity, thoracic, abdominal, or pelvic injuries.
Obesity is a risk factor in motor vehicle accidents for fatality and injury, specifically lower extremity and neck injuries.
系统评价和荟萃分析评估了肥胖对机动车事故伤害和死亡率的影响。
系统评价纳入了 20 项符合纳入标准的研究。荟萃分析对这些研究进行了分析，以评估肥胖作为特定伤害的危险因素，以及与非肥胖患者相比整体伤害和死亡率。
数据显示，肥胖与下肢受伤（优势比[OR] = 1.44，95%置信区间[CI] = 1.19-1.69，P ≤ 0.05）、颈部受伤（OR = 3.38，95%CI = 1.58-5.19，P ≤ 0.05）和整体死亡率（OR = 1.51，95%CI = 1.40-1.61，P ≤ 0.05）相关。按肥胖分类分层，I 类 BMI >30.1-34.9，II 类 BMI 35-39.9，III 类 BMI >40，只有 II 类（OR = 1.20，95%CI = 1.15-1.24，P ≤ 0.05）和 III 类（OR = 1.49，95%CI = 1.30-1.68，P ≤ 0.05）与死亡率增加相关。头部、上肢、胸部、腹部或骨盆受伤无显著差异。
肥胖是机动车事故死亡和伤害的危险因素，特别是下肢和颈部受伤。
