The impact of Body Mass Index (BMI) on mortality rates in patients with severe burns

Authors

  • Zofia M. Górecka 1 East Centre of Burns Treatment and Reconstructive Surgery, Independent Public District Hospital in Leczna, Poland; 2 Independent Public Clinical Hospital No. 4 in Lublin, Department of Plastic and Reconstructive Surgery and Microsurgery, Medical University of Lublin, Poland Author https://orcid.org/0009-0001-3930-6213
  • Agnieszka Surowiecka 1 East Centre of Burns Treatment and Reconstructive Surgery, Independent Public District Hospital in Leczna, Poland; 2 Independent Public Clinical Hospital No. 4 in Lublin, Department of Plastic and Reconstructive Surgery and Microsurgery, Medical University of Lublin, Poland Author https://orcid.org/0000-0003-3360-716X
  • Patrycja Klein Non-Public Healthcare Institution, Farmed, Lublin, Poland Author https://orcid.org/0009-0004-7558-890X
  • Aleksander Sławiński Infectious Diseases Clinic, Institute of Rural Health, Lublin, Poland Author https://orcid.org/0000-0002-3457-7268
  • Grzegorz Wilhelm Independent Public Clinical Hospital No. 4 in Lublin, Department of Plastic and Reconstructive Surgery and Microsurgery, Medical University of Lublin, Poland Author https://orcid.org/0000-0002-2052-8334
  • Marek Majewski Independent Public Clinical Hospital No. 4 in Lublin, Department of Plastic and Reconstructive Surgery and Microsurgery, Medical University of Lublin, Poland Author https://orcid.org/0000-0001-5363-9818
  • Tomasz Korzeniowski East Centre of Burns Treatment and Reconstructive Surgery, Independent Public District Hospital in Leczna, Poland Author https://orcid.org/0000-0002-7610-1460
  • Kamil Torres 1 Independent Public Clinical Hospital No. 4 in Lublin, Department of Plastic and Reconstructive Surgery and Microsurgery, Medical University of Lublin, Poland; 2 Infectious Diseases Clinic, Institute of Rural Health, Lublin, Poland Author https://orcid.org/0000-0001-5602-3744
  • Jerzy Strużyna 1 East Centre of Burns Treatment and Reconstructive Surgery, Independent Public District Hospital in Leczna, Poland; 2 Independent Public Clinical Hospital No. 4 in Lublin, Department of Plastic and Reconstructive Surgery and Microsurgery, Medical University of Lublin, Poland Author https://orcid.org/0000-0002-3064-3379

DOI:

https://doi.org/10.12923/cipms-2025-0017

Keywords:

obesity, body mass index, burns, mortality

Abstract

There is an increase in the number of obese patients in burn units. Obesity is strongly associated with metabolic syndrome and chronic diseases, including cardiovascular and gastrointestinal disorders and diabetes. However, there is evidence that moderate obesity and overweight have a potentially protective effect on mortality among severely burned patients. The “obesity paradox” may result from the protective effect of adipose tissue due to its thermal conductivity and the regenerative potential resulting from the presence of mesenchymal stem cells in the subcutaneous tissue. This review aims to summarize available data showing correlation between Body Mass Index (BMI; kg/m2) and clinical outcome of the treatment of burns, including its impact on mortality. We pointed out direction of further research that should be conducted to more precisely examine the relationship between weight and course of treatment of burn patients. A systemic search was conducted of the relevant literature up to and including July 2024 – using database PubMed.

The presented articles confirm the J-shaped and U-shaped correlation between BMI and mortality in burn patients. Being overweight or moderately obese proved to be protective compared to having a normal BMI or more severe obesity. Obesity is undoubtedly associated with several adverse health effects and requires additional challenges for health care in the process of treating its undesirable effects. However, the presented articles prove that overweight and obesity can have a protective effect on patients with severe burns.

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Published

2025-05-21

Issue

Vol. 38 No. 2 (AOP) (2025): Current Issues of Pharmacy and Medical Sciences

Section

Artykuły

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How to Cite

Górecka, Z. M., Surowiecka, A., Klein, P., Sławiński, A., Wilhelm, G., Majewski, M., Korzeniowski, T., Torres, K., & Strużyna, J. (2025). The impact of Body Mass Index (BMI) on mortality rates in patients with severe burns. Current Issues in Pharmacy and Medical Sciences, 38(2 (AOP). https://doi.org/10.12923/cipms-2025-0017