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Updated: Jul 26, 2025

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Assessment of Child Anthropometry in a Large Epidemiologic Study
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体重指数与儿科复杂尾炎和术后并发症有关
Nutan B Hebballi1,2, Stacia DeSantis3, Eric L Brown1
1Department of Epidemiology, Human Genetics and Environmental Sciences, The University of Texas School of Public Health, Houston, Texas.
Annals of surgery
|June 15, 2023
概括
体重不足的儿童面临复杂尾炎和重大术后并发症的更高风险,而超重的儿童患复杂尾炎的几率较低. 个性化护理对于高危儿科患者至关重要.
科学领域:
- 儿科手术 儿科手术
- 临床结果研究研究
- 肥胖与健康 肥胖与健康
背景情况:
- 超重或肥胖对复杂尾炎和术后并发症的影响已知,但体重不足的影响仍然不清楚.
- 调查与尾炎结局相关的全方位体重指数 (BMI) 对于全面的患者护理至关重要.
研究的目的:
- 检查各种体质指数 (BMI) 类别与儿科患者复杂尾炎的发生之间的关联.
- 确定BMI谱与儿童尾炎治疗后轻微,重大和任何术后并发症的发生率之间的关系.
主要方法:
- 用国家外科质量改善计划 (NSQIP) 数据库从2016年到2020年进行了儿科患者数据的回顾性分析.
- 患者的体重指数 (BMI) 百分位被分为体重不足,正常体重,超重和肥胖类别.
- 进行了统计分析,包括单变量和多变量逻辑回归,以评估BMI和尾炎结局之间的关联.
主要成果:
- 与体重正常的患者相比,体重不足的儿科患者患上复杂尾炎的几率明显更高 (OR=1.66).
- 超重患者的复杂尾炎的几率较低 (OR=0.72),超重状态和手术前白细胞 (WBC) 计数之间有显著的相互作用.
- 肥胖患者出现轻微并发症的几率增加 (OR=1.52),而体重不足患者面临重大 (OR=2.77) 和任何 (OR=2.82) 术后并发症的几率大幅增加.
结论:
- 身体质量指数 (BMI) 谱,包括体重不足和超重状态,与儿科患者的复杂尾炎显著相关.
- 肥胖和体重不足与术后并发症的增加有关,其中涉及手术前白细胞计数 (WBC) 的显著相互作用.
- 开发个性化的临床途径和针对高危儿科群体的针对性家长教育,可以有效地缓解与尾炎相关的术后并发症.
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