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肥胖对远距离半径骨折的影响:来自NSQIP数据库的分析

Rishi Gonuguntla¹, Abdullah Ghali², Gautham Prabhakar¹

¹From the UT Health San Antonio, Department of Orthopaedics, San Antonio, Tex.

Plastic and reconstructive surgery. Global open

|June 12, 2023

概括

第三类肥胖症显著增加了远端半径骨折 (DRF) 手术后并发症的风险. 与没有III类肥胖症的患者相比,患有III类肥胖症的患者面临更高的不良结果率,更长的住院时间和更多的重新手术.

科学领域:

整形外科手术整形外科手术
肥胖医学肥胖医学
公共卫生公共卫生

背景情况:

在过去的40年里,全球肥胖率急剧上升.
第三类肥胖症,以前称为病态肥胖症,与许多健康并发症有关.
肥胖对手和手腕骨折结果的影响仍然不完全理解.

研究的目的:

为了研究三级肥胖症和外围半径骨折 (DRF) 手术后的术后并发症之间的关联.
量化与DRF患者的III类肥胖相关的风险.

主要方法:

美国外科医生学院-国家外科质量改进计划 (ACS-NSQIP) 数据库的回顾性分析.
包括在2015年至2020年期间接受手术DRF修复的50岁以上的患者.
将患者分为III类肥胖 (BMI>40) 和非III类肥胖 (BMI <40) 的两组进行比较.

主要成果:

第三类肥胖患者 (n=570) 显示整体术后并发症 (OR 1.906),不良出院 (OR 2.618),和长时间住院 (OR 1.91 >3天,OR 2.943 >7天) 的几率显著更高.
在III类肥胖群体中观察到,意外重新手术 (OR 2.138) 和再入院 (OR 2.814) 的几率增加.
第三类肥胖与更长的平均手术时间 (79.5分 vs. 72.2分) 和术后住院时间 (0.86天 vs. 0.57天) 的增加有关.

结论:

第三类肥胖是远端半径骨折修复后不良结果的独立风险因素.
患有III类肥胖症的患者经历了更高的并发症发生率,延长的恢复,以及DRF手术后医疗保健利用率的增加.

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