The Influence of Obesity on Treatment and Outcome of Severely Burned Patients

Christian Tapking, Khosrow S. Houschyar, Victoria G. Rontoyanni, Gabriel Hundeshagen, Karl Friedrich Kowalewski, Christoph Hirche, Daniel Popp, Steven E. Wolf, David N. Herndon, Ludwik K. Branski

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)996-1008
Number of pages13
JournalJournal of burn care & research : official publication of the American Burn Association
Volume40
Issue number6
DOIs
StatePublished - Oct 16 2019

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ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine
  • Rehabilitation

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