Subcutaneous and visceral fat are associated with worse outcomes in gunshot injuries but not stab injuries to the torso

Purpose The effect of obesity in penetrating trauma outcomes is poorly understood. purpose this study was to determine if there a protective subcutaneous or visceral fat from stab and gunshot wounds. Methods 443 patients admitted after traumatic injury the torso were retrospectively identified our institution’s registry. CT scans performed at presentation used cross-sectional area level umbilicus via manual segmentation. Obesity-associated parameters including body mass index, compared with severity score, length hospital/intesive care unit (ICU) stay, number operating room (OR) visits. Parameters between who sustained wounds versus injuries. Results Comparing all injuries those injuries, gunshots resulted increased hospital ICU score (ISS). For wounds, obesity-related correlated stay total stay; OR visits, but no significant correlation ISS. In contrast, statistically associations any outcome measures. Conclusion torso, worse not Level evidence III, prognostic epidemiological.