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The relationship between body mass index and children’s presentations to a tertiary pediatric emergency department

BACKGROUND: The child obesity and its complications are associated with an alarming increased health care use, including the emergency department (ED). We evaluated the effects of the obesity and overweight in children admitted to ED, especially in patients with injury diagnosis. METHODS: A retrospe...

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Autores principales: Ferro, Valentina, Mosca, Antonella, Crea, Francesca, Mesturino, Maria Alessia, Olita, Carla, Vania, Andrea, Reale, Antonino, Nobili, Valerio, Raucci, Umberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5859749/
https://www.ncbi.nlm.nih.gov/pubmed/29559007
http://dx.doi.org/10.1186/s13052-018-0476-y
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author Ferro, Valentina
Mosca, Antonella
Crea, Francesca
Mesturino, Maria Alessia
Olita, Carla
Vania, Andrea
Reale, Antonino
Nobili, Valerio
Raucci, Umberto
author_facet Ferro, Valentina
Mosca, Antonella
Crea, Francesca
Mesturino, Maria Alessia
Olita, Carla
Vania, Andrea
Reale, Antonino
Nobili, Valerio
Raucci, Umberto
author_sort Ferro, Valentina
collection PubMed
description BACKGROUND: The child obesity and its complications are associated with an alarming increased health care use, including the emergency department (ED). We evaluated the effects of the obesity and overweight in children admitted to ED, especially in patients with injury diagnosis. METHODS: A retrospective study of patients aged 6–18 years was conducted. Patients were categorized into normal weight (body mass index, BMI < 85th); overweight (BMI ≥ 85th e < 95th); obesity (BMI ≥ 95th). Multiple logistic analysis was used for estimation of risk factors associated with the BMI and to explore the association between injury diagnosis and BMI. RESULTS: The predictive factors associated with obesity and overweight were school age (p <  0.001), male gender (p <  0.001) and number of visits for year (obesity: p <  0.001 and overweight: p <  0.05). Obese children were less at injury risk than normal weight (p <  0.05). In injury subset, fractures in school age were more likely to occur in obesity (p <  0.01). Dislocated fractures (p <  0.01) and fractures at lower extremity were more likely to occur in obesity and overweight (p <  0.05). CONCLUSIONS: School age children presenting to ED are more at risk of excess body weight than adolescents and are at higher fracture risk if obese and overweight. This has clear implication to support the efforts to reduce the obesity in childhood. The ED may represent a crucial setting for the early identification of these children and of co-morbidities related BMI ≥ 85th, and for a timely specialist referral of these children, especially if school age.
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spelling pubmed-58597492018-03-22 The relationship between body mass index and children’s presentations to a tertiary pediatric emergency department Ferro, Valentina Mosca, Antonella Crea, Francesca Mesturino, Maria Alessia Olita, Carla Vania, Andrea Reale, Antonino Nobili, Valerio Raucci, Umberto Ital J Pediatr Research BACKGROUND: The child obesity and its complications are associated with an alarming increased health care use, including the emergency department (ED). We evaluated the effects of the obesity and overweight in children admitted to ED, especially in patients with injury diagnosis. METHODS: A retrospective study of patients aged 6–18 years was conducted. Patients were categorized into normal weight (body mass index, BMI < 85th); overweight (BMI ≥ 85th e < 95th); obesity (BMI ≥ 95th). Multiple logistic analysis was used for estimation of risk factors associated with the BMI and to explore the association between injury diagnosis and BMI. RESULTS: The predictive factors associated with obesity and overweight were school age (p <  0.001), male gender (p <  0.001) and number of visits for year (obesity: p <  0.001 and overweight: p <  0.05). Obese children were less at injury risk than normal weight (p <  0.05). In injury subset, fractures in school age were more likely to occur in obesity (p <  0.01). Dislocated fractures (p <  0.01) and fractures at lower extremity were more likely to occur in obesity and overweight (p <  0.05). CONCLUSIONS: School age children presenting to ED are more at risk of excess body weight than adolescents and are at higher fracture risk if obese and overweight. This has clear implication to support the efforts to reduce the obesity in childhood. The ED may represent a crucial setting for the early identification of these children and of co-morbidities related BMI ≥ 85th, and for a timely specialist referral of these children, especially if school age. BioMed Central 2018-03-20 /pmc/articles/PMC5859749/ /pubmed/29559007 http://dx.doi.org/10.1186/s13052-018-0476-y Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Ferro, Valentina
Mosca, Antonella
Crea, Francesca
Mesturino, Maria Alessia
Olita, Carla
Vania, Andrea
Reale, Antonino
Nobili, Valerio
Raucci, Umberto
The relationship between body mass index and children’s presentations to a tertiary pediatric emergency department
title The relationship between body mass index and children’s presentations to a tertiary pediatric emergency department
title_full The relationship between body mass index and children’s presentations to a tertiary pediatric emergency department
title_fullStr The relationship between body mass index and children’s presentations to a tertiary pediatric emergency department
title_full_unstemmed The relationship between body mass index and children’s presentations to a tertiary pediatric emergency department
title_short The relationship between body mass index and children’s presentations to a tertiary pediatric emergency department
title_sort relationship between body mass index and children’s presentations to a tertiary pediatric emergency department
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5859749/
https://www.ncbi.nlm.nih.gov/pubmed/29559007
http://dx.doi.org/10.1186/s13052-018-0476-y
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