{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T13:47:22Z","timestamp":1776433642216,"version":"3.51.2"},"reference-count":37,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","journalofsurgicalresearch.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Research"],"published-print":{"date-parts":[[2021,11]]},"DOI":"10.1016\/j.jss.2021.06.027","type":"journal-article","created":{"date-parts":[[2021,7,10]],"date-time":"2021-07-10T18:05:44Z","timestamp":1625940344000},"page":"544-555","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"special_numbering":"C","title":["The Association of Body Mass Index and Outcomes in Adult Patients with Chest Wall Injuries"],"prefix":"10.1016","volume":"267","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7730-617X","authenticated-orcid":false,"given":"Adel","family":"Elkbuli","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brad","family":"Boserup","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott","family":"Rowe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"McKenney","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.jss.2021.06.027_bib0001","first-page":"41","article-title":"Age thresholds for increased mortality of predominant crash induced thoracic injuries","volume":"54","author":"Stitzel","year":"2010","journal-title":"Ann Adv Automot Med"},{"key":"10.1016\/j.jss.2021.06.027_bib0002","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1136\/jramc-156-01-02","article-title":"The diagnosis and treatment of non-cardiac thoracic trauma","volume":"156","author":"O'Connor","year":"2010","journal-title":"J R Army Med Corps"},{"key":"10.1016\/j.jss.2021.06.027_bib0003","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1148\/rg.2017160100","article-title":"Traumatic rib injury: patterns, imaging pitfalls, complications, and treatment","volume":"37","author":"Talbot","year":"2017","journal-title":"Radiographics"},{"key":"10.1016\/j.jss.2021.06.027_bib0004","unstructured":"National Highway Traffic Safety Administration. FARS Encyclopedia [Internet]. Available at: https:\/\/www-fars.nhtsa.dot.gov\/Main\/index.aspx."},{"key":"10.1016\/j.jss.2021.06.027_bib0005","first-page":"213","article-title":"A comparative analysis of the injury patterns and in-hospital mortality rates of belted and unbelted motor-vehicle occupants - puerto rico, January 2000 to December 2014","volume":"37","author":"Layrisse","year":"2018","journal-title":"P R Health Sci J"},{"key":"10.1016\/j.jss.2021.06.027_bib0006","doi-asserted-by":"crossref","first-page":"1411","DOI":"10.1197\/aemj.9.12.1411","article-title":"The effect of seatbelt use on injury patterns, disposition, and hospital charges for elders","volume":"9","author":"Coley","year":"2002","journal-title":"Acad Emerg Med"},{"key":"10.1016\/j.jss.2021.06.027_bib0007","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1016\/S0196-0644(98)70169-6","article-title":"Patterns of injury in belted and unbelted individuals presenting to a trauma center after motor vehicle crash: seat belt syndrome revisited","volume":"32","author":"Porter","year":"1998","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.jss.2021.06.027_bib0008","doi-asserted-by":"crossref","first-page":"888","DOI":"10.1177\/000313481007600837","article-title":"Rib fracture patterns predict thoracic chest wall and abdominal solid organ injury","volume":"76","author":"Al-Hassani","year":"2010","journal-title":"Am Surg"},{"issue":"Suppl 2","key":"10.1016\/j.jss.2021.06.027_bib0009","doi-asserted-by":"crossref","first-page":"S115","DOI":"10.1080\/15389588.2015.1062888","article-title":"Real-world rib fracture patterns in frontal crashes in different restraint conditions","volume":"16","author":"Lee","year":"2015","journal-title":"Traffic Inj Prev"},{"key":"10.1016\/j.jss.2021.06.027_bib0010","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1016\/j.ccm.2018.01.002","article-title":"Chest Wall Diseases [Internet]. Vol. 39","author":"Tzelepis","year":"2018","journal-title":"Clinics in Chest Medicine"},{"key":"10.1016\/j.jss.2021.06.027_bib0011","unstructured":"CDC. Adult Obesity Facts [Internet]. 2020 [Accessed 2020 Oct 30]. Available at: https:\/\/www.cdc.gov\/obesity\/data\/adult.html"},{"key":"10.1016\/j.jss.2021.06.027_bib0012","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/j.jacc.2017.11.011","article-title":"Obesity: pathophysiology and management","volume":"71","author":"Gadde","year":"2018","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jss.2021.06.027_bib0013","doi-asserted-by":"crossref","first-page":"3415","DOI":"10.1182\/blood-2013-05-427708","article-title":"Inflammation, obesity, and thrombosis","volume":"122","author":"Samad","year":"2013","journal-title":"Blood"},{"key":"10.1016\/j.jss.2021.06.027_bib0014","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1080\/17476348.2018.1506331","article-title":"The effect of obesity on lung function [Internet]. Vol. 12","author":"Dixon","year":"2018","journal-title":"Expert Review of Respiratory Medicine"},{"key":"10.1016\/j.jss.2021.06.027_bib0015","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/j.ccm.2018.01.006","article-title":"Obesity hypoventilation syndrome","volume":"39","author":"Iftikhar","year":"2018","journal-title":"Clin Chest Med"},{"key":"10.1016\/j.jss.2021.06.027_bib0016","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1520\/JFS14410J","article-title":"Mechanisms of aortic injury in fatalities occurring in motor vehicle collisions","volume":"44","author":"Shkrum","year":"1999","journal-title":"J Forensic Sci"},{"key":"10.1016\/j.jss.2021.06.027_bib0017","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1093\/tse\/tdz012","article-title":"A review of neck injury and protection in vehicle accidents [Internet]. Vol. 1","author":"Li","year":"2019","journal-title":"Transportation Safety and Environment"},{"key":"10.1016\/j.jss.2021.06.027_bib0018","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/j.thorsurg.2007.02.005","article-title":"The management of flail chest","volume":"17","author":"Pettiford","year":"2007","journal-title":"Thorac Surg Clin"},{"key":"10.1016\/j.jss.2021.06.027_bib0019","first-page":"361","article-title":"Disorders of the Chest Wall [Internet]. Vol. 39","author":"MO","year":"2018","journal-title":"Clinics in Chest Medicine"},{"key":"10.1016\/j.jss.2021.06.027_bib0020","doi-asserted-by":"crossref","first-page":"961","DOI":"10.1136\/emermed-2015-204939","article-title":"Predictors of mortality in patients with flail chest: a systematic review","volume":"32","author":"Battle","year":"2015","journal-title":"Emerg Med J"},{"key":"10.1016\/j.jss.2021.06.027_bib0021","first-page":"335","article-title":"Obesity and respiratory diseases","volume":"20","author":"Zammit","year":"2010","journal-title":"Int J Gen Med"},{"key":"10.1016\/j.jss.2021.06.027_bib0022","doi-asserted-by":"crossref","first-page":"2541","DOI":"10.1038\/oby.2007.303","article-title":"BMI and seatbelt use","volume":"15","author":"Schlundt","year":"2007","journal-title":"Obesity"},{"key":"10.1016\/j.jss.2021.06.027_bib0023","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1177\/1010539511430720","article-title":"Does obesity increase the risk of injury or mortality in motor vehicle crashes? A systematic review and meta-analysis","volume":"26","author":"Desapriya","year":"2014","journal-title":"Asia Pac J Public Health"},{"key":"10.1016\/j.jss.2021.06.027_bib0024","first-page":"412","article-title":"Motor vehicle crashes obesity and seat belt use: a deadly combination?","volume":"64","author":"Zarzaur","year":"2008","journal-title":"J Trauma"},{"key":"10.1016\/j.jss.2021.06.027_bib0025","doi-asserted-by":"crossref","first-page":"1716","DOI":"10.1016\/j.ajem.2018.12.023","article-title":"The association between seatbelt use and trauma outcomes: Does body mass index matter? [Internet]. Vol. 37","author":"Elkbuli","year":"2019","journal-title":"The American Journal of Emergency Medicine"},{"key":"10.1016\/j.jss.2021.06.027_bib0026","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1016\/j.jcma.2016.01.006","article-title":"Morbidity, mortality, associated injuries, and management of traumatic rib fractures [Internet]. Vol. 79","author":"Lin","year":"2016","journal-title":"Journal of the Chinese Medical Association"},{"key":"10.1016\/j.jss.2021.06.027_bib0027","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/j.aap.2014.06.020","article-title":"Effect of weight, height and BMI on injury outcome in side impact crashes without airbag deployment","volume":"72","author":"Pal","year":"2014","journal-title":"Accid Anal Prev"},{"key":"10.1016\/j.jss.2021.06.027_bib0028","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1016\/j.aap.2012.04.013","article-title":"Investigation of pulmonary contusion extent and its correlation to crash, occupant, and injury characteristics in motor vehicle crashes","volume":"50","author":"Weaver","year":"2013","journal-title":"Accid Anal Prev"},{"issue":"Suppl 1","key":"10.1016\/j.jss.2021.06.027_bib0029","doi-asserted-by":"crossref","first-page":"S108","DOI":"10.1080\/15389588.2015.1012664","article-title":"Estimated injury risk for specific injuries and body regions in frontal motor vehicle crashes","volume":"16","author":"Weaver","year":"2015","journal-title":"Traffic Inj Prev"},{"key":"10.1016\/j.jss.2021.06.027_bib0030","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1016\/s1010-7940(02)00813-8","article-title":"Chest injury due to blunt trauma","volume":"23","author":"Liman","year":"2003","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.jss.2021.06.027_bib0031","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1080\/17476348.2018.1506331","article-title":"The effect of obesity on lung function","volume":"12","author":"Ubong Peters","year":"2018","journal-title":"Expert Rev Respir Med"},{"key":"10.1016\/j.jss.2021.06.027_bib0032","doi-asserted-by":"crossref","first-page":"1067","DOI":"10.1007\/s00414-019-02245-4","article-title":"The effect of steatosis and fibrosis on blunt force vulnerability of the liver","volume":"134","author":"Simon","year":"2020","journal-title":"Int J Legal Med"},{"key":"10.1016\/j.jss.2021.06.027_bib0033","doi-asserted-by":"crossref","first-page":"851","DOI":"10.5114\/aoms.2016.58928","article-title":"Obesity and inflammation: the linking mechanism and the complications","volume":"13","author":"Ellulu","year":"2017","journal-title":"Arch Med Sci"},{"key":"10.1016\/j.jss.2021.06.027_bib0034","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1136\/emermed-2012-201859","article-title":"Driver obesity and the risk of fatal injury during traffic collisions","volume":"31","author":"Rice","year":"2014","journal-title":"Emerg Med J"},{"key":"10.1016\/j.jss.2021.06.027_bib0035","doi-asserted-by":"crossref","first-page":"734","DOI":"10.2105\/AJPH.2004.058156","article-title":"Obesity and risk for death due to motor vehicle crashes","volume":"96","author":"Zhu","year":"2006","journal-title":"Am J Public Health"},{"key":"10.1016\/j.jss.2021.06.027_bib0036","doi-asserted-by":"crossref","first-page":"1319","DOI":"10.1038\/s41366-019-0481-2","article-title":"Comparison of injuries of belted occupants among different BMI categories in frontal crashes","volume":"44","author":"Joodaki","year":"2020","journal-title":"Int J Obes"},{"key":"10.1016\/j.jss.2021.06.027_bib0037","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1097\/TA.0000000000003040","article-title":"Increasing BMI is associated with higher mortality, worsening outcomes and highly specific injury patterns following trauma: A multi-institutional analysis of 191,274 patients","volume":"90","author":"Fakhry","year":"2021","journal-title":"Journal of Trauma and Acute Care Surgery"}],"container-title":["Journal of Surgical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022480421003966?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022480421003966?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T14:58:58Z","timestamp":1758380338000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022480421003966"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11]]},"references-count":37,"alternative-id":["S0022480421003966"],"URL":"https:\/\/doi.org\/10.1016\/j.jss.2021.06.027","relation":{},"ISSN":["0022-4804"],"issn-type":[{"value":"0022-4804","type":"print"}],"subject":[],"published":{"date-parts":[[2021,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The Association of Body Mass Index and Outcomes in Adult Patients with Chest Wall Injuries","name":"articletitle","label":"Article Title"},{"value":"Journal of Surgical Research","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jss.2021.06.027","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}