PMID- 33685267
OWN - NLM
STAT- MEDLINE
DCOM- 20220317
LR  - 20220421
IS  - 1525-1489 (Electronic)
IS  - 0885-0666 (Linking)
VI  - 37
IP  - 4
DP  - 2022 Apr
TI  - The Role of Obesity in Motor Vehicle Injuries and Fatalities in the Pediatric 
      Population: A Systematic Review.
PG  - 472-479
LID - 10.1177/0885066621992738 [doi]
AB  - PURPOSE: A systematic review done to evaluate obesity as a risk factor for 
      injuries and mortality in motor vehicle accidents (MVAs) in the pediatric 
      population, as there has not been a systematic review done in over 10 years. This 
      study aims to update the literature regarding obesity as a risk factor for 
      injuries in MVAs in the pediatric population. MATERIALS AND METHODS: A systematic 
      review was conducted according to the PRISMA guidelines with strict inclusion and 
      exclusion criteria, resulting in the use of 3 total articles to analyze obesity 
      as a risk factor for overall injury and mortality in the pediatric population. 
      RESULTS: Zaveri et al demonstrated a statistically significant, but weak, 
      decrease in the odds of extremity injury in overweight patients ages 2 to 17 
      years old (odds ratio [OR] = 0.6, 95% confidence interval [CI] = 0.4-1.0, P </= 
      0.05). On the other hand, Pollack et al and Haricharan et al found an increase in 
      extremity injury in the obese population, in ages 9 to 15 years (OR = 2.54, 95% 
      CI = 1.15-5.59, P </= 0.05), and 10 to 17 years (Age 10-13: OR = 6.06, 95% CI = 
      2.23-16.44, P </= 0.05, Age 14-17 OR = 1.44, 95% CI = 1.04-2.00, P </= 0.05), 
      respectively. Haricharan et al also found an increase in thoracic injuries in 
      obese children, ages 2 to 13 and increased risk of head/face/neck injury in obese 
      children ages 2 to 5 (OR = 3.67, 95% CI = 1.03-13.08, P </= 0.05), but a decreased 
      risk of head injury in obese children ages 14 to 17 (OR = 0.33, 95% CI = 
      0.18-0.60, P </= 0.05). CONCLUSIONS: There are sparse data that are conflicting, 
      regarding the effect of obesity on extremity injuries in the pediatric 
      population. Obesity is not protective against thoracic, head, or abdominal 
      injuries. However, it was found to be a risk factor for trunk injuries in ages 2 
      to 13, as well as head/face/neck injuries for ages 2 to 5. Since the literature 
      is so sparse, further research is warranted in these areas.
FAU - Alattar, Zana
AU  - Alattar Z
AUID- ORCID: 0000-0003-0629-2238
AD  - University of Arizona College of Medicine-Phoenix, Phoenix, AZ, USA.
FAU - Hoebee, Shelby
AU  - Hoebee S
AUID- ORCID: 0000-0003-1735-5847
AD  - University of Arizona College of Medicine-Phoenix, Phoenix, AZ, USA.
FAU - Ron, Eyal
AU  - Ron E
AUID- ORCID: 0000-0003-3433-4562
AD  - University of Arizona College of Medicine-Phoenix, Phoenix, AZ, USA.
FAU - Kang, Paul
AU  - Kang P
AD  - University of Arizona College of Medicine-Phoenix, Phoenix, AZ, USA.
FAU - vanSonnenberg, Eric
AU  - vanSonnenberg E
AD  - University of Arizona College of Medicine-Phoenix, Phoenix, AZ, USA.
LA  - eng
PT  - Journal Article
PT  - Systematic Review
DEP - 20210309
PL  - United States
TA  - J Intensive Care Med
JT  - Journal of intensive care medicine
JID - 8610344
SB  - IM
MH  - *Abdominal Injuries/complications
MH  - Accidents, Traffic
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - *Craniocerebral Trauma/epidemiology/etiology
MH  - Humans
MH  - Motor Vehicles
MH  - *Pediatric Obesity/complications
MH  - *Wounds and Injuries/complications
OTO - NOTNLM
OT  - motor vehicle accidents
OT  - obesity
OT  - pediatrics
OT  - trauma
EDAT- 2021/03/10 06:00
MHDA- 2022/03/18 06:00
CRDT- 2021/03/09 05:39
PHST- 2021/03/10 06:00 [pubmed]
PHST- 2022/03/18 06:00 [medline]
PHST- 2021/03/09 05:39 [entrez]
AID - 10.1177/0885066621992738 [doi]
PST - ppublish
SO  - J Intensive Care Med. 2022 Apr;37(4):472-479. doi: 10.1177/0885066621992738. Epub 
      2021 Mar 9.