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

Valentina Ferro, Antonella Mosca, Francesca Crea, Maria Alessia Mesturino, Carla Olita, Andrea Vania, Antonino Reale, Valerio Nobili, Umberto Raucci

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Pages (from-to)38
Number of pages9
JournalItalian Journal of Pediatrics
Volume44
Issue number1
DOIs
Publication statusPublished - Mar 20 2018

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Hospital Emergency Service
Body Mass Index
Obesity
Pediatrics
Pediatric Obesity
Wounds and Injuries
Weights and Measures
Lower Extremity
Referral and Consultation
Retrospective Studies
Body Weight
Morbidity
Delivery of Health Care

Keywords

  • Adolescent
  • Body Mass Index
  • Child
  • Emergency Service, Hospital/statistics & numerical data
  • Female
  • Follow-Up Studies
  • Hospitals, Pediatric/statistics & numerical data
  • Humans
  • Incidence
  • Italy/epidemiology
  • Male
  • Overweight/complications
  • Pediatric Obesity/complications
  • Prospective Studies
  • Risk Assessment/methods
  • Risk Factors
  • Trauma Severity Indices
  • Wounds and Injuries/diagnosis

Cite this

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.

In: Italian Journal of Pediatrics, Vol. 44, No. 1, 20.03.2018, p. 38.

Research output: Contribution to journalArticle

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abstract = "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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T1 - The relationship between body mass index and children's presentations to a tertiary pediatric emergency department

AU - Ferro, Valentina

AU - Mosca, Antonella

AU - Crea, Francesca

AU - Mesturino, Maria Alessia

AU - Olita, Carla

AU - Vania, Andrea

AU - Reale, Antonino

AU - Nobili, Valerio

AU - Raucci, Umberto

PY - 2018/3/20

Y1 - 2018/3/20

N2 - 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.

AB - 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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KW - Body Mass Index

KW - Child

KW - Emergency Service, Hospital/statistics & numerical data

KW - Female

KW - Follow-Up Studies

KW - Hospitals, Pediatric/statistics & numerical data

KW - Humans

KW - Incidence

KW - Italy/epidemiology

KW - Male

KW - Overweight/complications

KW - Pediatric Obesity/complications

KW - Prospective Studies

KW - Risk Assessment/methods

KW - Risk Factors

KW - Trauma Severity Indices

KW - Wounds and Injuries/diagnosis

U2 - 10.1186/s13052-018-0476-y

DO - 10.1186/s13052-018-0476-y

M3 - Article

C2 - 29559007

VL - 44

SP - 38

JO - Italian Journal of Pediatrics

JF - Italian Journal of Pediatrics

SN - 1720-8424

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ER -