体重不足的患者经历了较高的住院并发症和死亡率后的acetabular骨折
Julian Wier1, Reza Firoozabadi2, Andrew Duong1
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
体重不足,骨骨折的患者面临更高的住院并发症和死亡风险. 这种风险在老年人 (≥65岁) 中尤为明显.
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
- 患者的治疗结果.
背景情况:
- 体重不足的患者在选择性骨科手术后经常经历较差的结果.
- 体重不足的体重指数 (BMI) 对骨骨折并发症的具体影响尚未得到充分证实.
研究的目的:
- 为了研究体重不足状态和骨骨折后住院并发症之间的关联.
- 为了比较体重不足和体重正常的患者之间的并发症和死亡率.
主要方法:
- 2015-2019年使用创伤质量计划数据对成年患者 (≥18岁) 患有骨骨折的分析.
- 多变量逻辑回归被用来比较低体重 (BMI <18.5 kg/m2) 和正常体重 (BMI 18.5-25 kg/m2) 患者之间的住院并发症和死亡率.
- 分析按年龄分层 (≥65岁与18-64岁).
主要成果:
- 与体重正常的同行相比,65岁以上的体重不足患者在任何住院并发症 (aOR 1.2) 和住院死亡率 (aOR 2.7) 的几率明显更高.
- 18-64岁的体重不足患者也显示出任何住院并发症的几率增加 (aOR 1.2) 和住院死亡率 (aOR 1.5) 与体重正常的患者相比.
- 具体的并发症率和p值详细介绍了两个年龄组.
结论:
- 体重不足的状况是增加住院并发症和死亡率的重要危险因素,在成年患者中患有骨骨折.
- 体重不足的老年成人患者 (≥65岁) 的风险特别高.
- 这些发现强调了营养状况在治疗骨骨折患者中的重要性.
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