This German retrospective review of 1500 level one trauma center patients (ICU level or ISS over 9) found obesity was an independent predictor of ARDS, multisystem organ failure, and sepsis but not pneumonia or mortality.
References
Erdle, B., Mangold, J., Kalbhenn, J. et al. BMI is independently associated with ARDS, sepsis and multiorgan failure after major trauma—results of a high-volume retrospective observational cohort study. Scand J Trauma Resusc Emerg Med (2026). https://doi.org/10.1186/s13049-026-01603-7
