Citation

Tapking C, Houschyar KS, Rontoyanni VG, Hundeshagen G, Kowalewski KF, Hirche C, Popp D, Wolf SE, Herndon DN, Branski LK. J. Burn Care Res. 2019; ePub(ePub): ePub.

Affiliation

Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.

Copyright

(Copyright © 2019, American Burn Association, Publisher Lippincott Williams and Wilkins)

DOI

10.1093/jbcr/irz115

PMID

31294797

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 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 non-alcoholic 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.

© American Burn Association 2019. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Language: en

Keywords

Burn; Mortality; Nursing; Obesity