肥胖的分类预测早期并发症和死亡率后,骨骨折
Julian Wier1, Reza Firoozabadi2, Joseph T Patterson3
1Department of Orthopaedic Surgery, Keck School of Medicine of the University of Southern California, 1520 San Pablo Street, Suite 2000, Los Angeles, CA, 90033-5322, USA.
概括
肥胖显著增加了骨骨折后并发症和死亡的风险. 较高的体重指数 (BMI) 与这些患者更高的不良事件率和死亡率相关.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科 手术 创伤外科
- 肥胖医学 肥胖医学
背景情况:
- 肥胖是一个全球性的健康问题,对骨骨折结果的影响尚不清楚.
- 了解肥胖的影响对于治疗骨骨折患者至关重要.
研究的目的:
- 评估身体质量指数 (BMI) 与骨骨折后早期并发症之间的关联.
- 评估肥胖类对骨骨折后死亡风险的影响.
主要方法:
- 来自创伤质量改善计划 (2015-2019) 的成年骨骨折患者的分析.
- 主要结局:与正常体重患者 (BMI 25-30 kg/m2) 相比,整体并发症率.
- 二次结果:使用逻辑回归与共变量调整分析的死亡率.
主要成果:
- 一级肥胖 (BMI 30-35 kg/m2) 显示不良事件的风险增加了1.2倍.
- 二级肥胖 (BMI 35-40 kg/m2) 与不良事件的风险增加了1.2倍,死亡风险增加了1.5倍.
- 第三类肥胖 (BMI ≥40 kg/m2) 与1.3倍增加的不良事件风险和2.3倍增加的死亡风险有关.
结论:
- 肥胖与骨骨折后不良事件和死亡率的风险更高有关.
- 肥胖的严重程度与增加并发症和死亡风险的程度相关.
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