Obesity is an epidemic in the pediatric population. Childhood obesity in trauma has been associated with increased incidence of long-bone fractures, longer ICU stays, and decreased closed head injuries. We investigated for differences in the likelihood of failure of non-operative management (NOM), and injury grade using a subset of a multi-institutional, prospective database of pediatric patients with solid organ injury (SOI).We prospectively collected data on all pediatric patients (<18years) admitted for liver or splenic injury from September 2013 to January 2016. SOI was managed based upon the ATOMAC protocol. Obesity status was derived using CDC definitions; patients were categorized as non-obese (BMI <95th percentile) or obese (BMI ≥95th percentile). The ISS, injury grade, and NOM failure rate were calculated among other data points.Of 1012 patients enrolled, 117 were identified as having data regarding BMI. Eighty-four percent of patients were non-obese; 16

作者：Nathan, Vaughan；Jeff, Tweed；Cynthia, Greenwell；David M, Notrica；Crystal S, Langlais；Shawn D St, Peter；Charles M, Leys；Daniel J, Ostlie；R Todd, Maxson；Todd, Ponsky；David W, Tuggle；James W, Eubanks；Amina, Bhatia；Cynthia, Greenwell；Nilda M, Garcia；Karla A, Lawson；Prasenjeet, Motghare；Robert W, Letton；Adam C, Alder

来源：Journal of pediatric surgery 2016 年