肥胖和脚假肢修订:系统性审查和元分析
Csaba Varga1,2, Szilárd Váncsa2,3,4, Gergely Agócs2,5
1Department of Orthopaedics, Semmelweis University, Budapest, Hungary.
Foot & ankle international
|October 30, 2023
概括
肥胖增加了在全关节整形术 (TAA) 后修复手术的风险. 虽然不具有统计学意义,但肥胖患者可能会出现更多的并发症,这可能会影响假肢存活率.
科学领域:
- 整形外科手术 整形外科手术
- 生物医学工程 生物医学工程
- 公共卫生 公共卫生
背景情况:
- 关节整形术 (TAA) 越来越多地进行.
- 肥胖对TAA结果的影响受到辩论.
- 了解与肥胖相关的风险对于患者管理至关重要.
研究的目的:
- 系统地审查和元分析关于肥胖作为TAA并发症风险因素的证据.
- 调查肥胖与短期和长期TAA结果之间的关联.
主要方法:
- 在 MEDLINE,Embase 和 CENTRAL 数据库中进行全面的文献搜索.
- 包括观察性研究,比较肥胖 (BMI > 30) 和非肥胖的TAA患者.
- 使用随机效应模型进行元分析,以计算聚合几率比率 (OR) 和95%置信区间 (CI).
主要成果:
- 包括9项研究,包括10,388名患者.
- 肥胖患者的修复手术几率明显更高 (OR = 1.68,CI: 1.44-1.95).
- 在肥胖患者中,没有观察到整体外科手术或伤口并发症的显著增加.
结论:
- 肥胖可能会对TAA后的长期结果产生负面影响.
- 肥胖可能会降低关节整形术后的假肢存活率.
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