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萨科佩尼亚对心脏手术后的结果产生不利影响:系统性审查和元分析
Ali Ansaripour1, Arian Arjomandi Rad2, Marinos Koulouroudias3
1Department of Cardiothoracic Surgery, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK.
Journal of clinical medicine
|September 9, 2023
概括
肉,肌肉质量和力量的损失,显著增加死亡风险,并使心脏手术患者的功能结果恶化. 这种情况需要在手术规划和患者护理中仔细考虑.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 外科手术的结果
背景情况:
- 肉症是一种退行性疾病,涉及骨肌肉质量和力量的丧失.
- 它对心脏手术结果的影响尚不清楚.
- 这项研究研究了萨科佩尼亚对心脏手术结果的影响.
研究的目的:
- 综合证据证实了萨尔科佩尼亚对心脏手术结果的影响.
- 为了确定肉类是否与心脏手术后的死亡率增加有关.
- 评估萨尔科佩尼亚对心脏手术后功能恢复的影响.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 在EMBASE,MEDLINE,Cochrane和谷歌学者数据库中进行了搜索.
- 包括12项涉及2717名患者的研究;分析了死亡率和功能结果.
主要成果:
- 麻症患者的早期和晚期死亡风险较高 (OR分别为2.40和2.65).
- 手术时间或感染率没有显著差异.
- 麻患者经历了更长的ICU停留时间,更多的脏透析和更长的输管治疗.
结论:
- 萨科佩尼亚是心脏手术后死亡的一个重要风险因素.
- 患有肉症的患者在手术后面临着更差的功能结果.
- 在手术前评估肉类可能会改善患者的管理.
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