@article{ref1,
title="Assessing the cushion effect: a systematic review and meta-analysis of the role of obesity in motor vehicle injuries and fatalities",
journal="Journal of intensive care medicine",
year="2021",
author="Hoebee, Shelby and Ron, Eyal and Alattar, Zana and Kang, Paul and VanSonnenberg, Eric",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: A systematic review and meta-analysis were done to evaluate the effect of obesity in injury and mortality due to motor vehicle accidents. MATERIALS & METHODS: The systematic review consisted of 20 studies meeting the inclusion criteria. The meta-analysis was conducted on these studies to analyze obesity as a risk factor for specific injuries, as well as overall injury and mortality compared to non-obese patients. <br><br>RESULTS: The data revealed that obesity was associated with increased lower extremity injuries (odds ratio [OR] = 1.44, 95% confidence interval [CI] = 1.19-1.69, P ≤ 0.05), neck injuries (OR = 3.38, 95% CI = 1.58-5.19, P ≤ 0.05), and overall mortality (OR = 1.51, 95% CI = 1.40-1.61, P ≤ 0.05). When stratified for obesity class with class I as BMI >30.1-34.9, class II BMI 35-39.9, and class III BMI >40, only class II (OR = 1.20, 95% CI = 1.15-1.24, P ≤ 0.05) and class III (OR = 1.49, 95% CI = 1.30-1.68, P ≤ 0.05) were associated with increased mortality risk. No significant differences were seen with head, upper extremity, thoracic, abdominal, or pelvic injuries. <br><br>CONCLUSION: Obesity is a risk factor in motor vehicle accidents for fatality and injury, specifically lower extremity and neck injuries.<p /> <p>Language: en</p>",
language="en",
issn="0885-0666",
doi="10.1177/0885066621989978",
url="http://dx.doi.org/10.1177/0885066621989978"
}