胸部男性化手术后高体重指数与术后并发症的关联
Bashar Hassan1, Calvin R Schuster2, Mona Ascha1
1From the Department of Plastic and Reconstructive Surgery, Center for Transgender and Gender Expansive Health, Johns Hopkins University.
Annals of plastic surgery
|November 2, 2023
概括
在接受胸部男性化手术 (CMS) 的跨性别和非二进制患者中,较高的体重指数 (BMI) 与再入院风险增加有关. 然而,严重的并发症很少发生,这表明需要重新评估CMS的BMI切断值.
科学领域:
- 医学研究 医学研究
- 外科手术的结果
- 跨性别者医疗保健服务
背景情况:
- 目前胸部男性化手术 (CMS) 的身体质量指数 (BMI) 要求缺乏标准化,并基于有限的数据.
- 这项研究解决了在跨性别和非二进制手术护理中需要基于证据的BMI指导方针的需求.
研究的目的:
- 确定身体质量指数 (BMI) 与经过胸部男性化手术 (CMS) 的跨性别和非二进制患者的术后并发症之间的关联.
- 提供关于BMI和CMS结果的最大规模的国家追溯分析.
主要方法:
- 利用国家外科质量改善计划数据库 (2012-2020年) 对接受CMS的患者.
- 分析了2317例患者病例,对BMI进行了分类,并评估了30天内的并发症发生率.
- 使用后勤回归来评估BMI和手术结果之间的关系.
主要成果:
- 增加BMI显著与至少一个术后并发症的可能性更高有关.
- 体重指数≥50公斤/平方米的患者患上并发症和尿路感染的几率大大增加.
- 较高的BMI (≥35 kg/m2) 与重新入院和手术部位感染的几率增加相关.
结论:
- 在BMI较高的患者中,胸部男性化手术与意外再入院的风险增加有关.
- 这项研究表明,即使在较高的BMI个体中,严重发病风险也很低,这支持重新评估CMS目前的BMI截止值.
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