在米特拉手术后,肥胖患者的预测结果
Ahmed Alnajar1,2, Kelley N Benck1, Tawseef Dar1
1Division of Cardiothoracic Surgery, DeWitt Daughtry Department of Surgery, University of Miami Miller School of Medicine, Miami, Fla.
JTCVS open
|October 9, 2023
概括
肥胖患者的中枢门手术结果显示,随着年龄的增长,并发症和病态肥胖,死亡风险更高. 选择性手术和门修复与较低的死亡率有关.
科学领域:
- 心血管外科心血管外科
- 肥胖医学 肥胖医学
- 健康 结果 研究 研究 结果
背景情况:
- 有限的研究存在于米特拉门手术的结果,特别是在肥胖人口中.
- 了解影响住院结果的因素对于优化这种人口群的护理至关重要.
研究的目的:
- 鉴定肥胖患者在开放性心关节手术后与住院死亡相关的因素.
- 提供可以为最佳患者管理提供临床决策的数据.
主要方法:
- 从2012年至2020年,对成人肥胖患者进行开放性中枢置换或修复的回顾性分析.
- 使用了国家住院样本数据库.
- 使用加权后勤回归和随机森林分析来评估死亡率预测因素和相互作用.
主要成果:
- 在48,775名肥胖患者中,住院死亡率为5.0%.
- 与年龄较大相关的死亡风险增加,较高的Elixhauser并发症得分,先前的门手术和多次并发手术.
- 通过选择性入院和门修复观察到较低的死亡率.
结论:
- 高龄,并发性疾病和致病性肥胖症独立地增加了接受米特拉手术的肥胖患者的死亡风险.
- 性差异和病态肥胖症需要得到承认.
- 考虑对老年患者和患有多种并发病症的女性进行早期干预.
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