在美国成年人中, inguinal hernia 修复的危险因素
Hernia : the journal of hernias and abdominal wall surgery
|November 10, 2023
概括
这项研究发现,年龄较大,男性性别和身体活动增加了 inguinal hernia 修复的可能性. 肥胖和某些种族与较低的发病率有关,突出了风险预测因素.
科学领域:
- 医学研究 医学研究
- 外科手术的结果
- 公共卫生 公共卫生
背景情况:
- inguinal 是常见的手术条件.
- 了解手术修复的风险因素对于患者管理和资源分配至关重要.
- 之前的研究还没有充分探索不同人群中的人口,临床和行为预测因素.
研究的目的:
- 确定与进行 inguinal hernia 修复相关的人口,临床和行为风险因素.
- 分析这些因素在一个大,种族多样化的队列.
- 为开发用于识别高风险个体的预测工具提供信息.
主要方法:
- 美国医疗保健系统302,532名个体的回顾性病例控制研究 (2007-2020年).
- 录取标准:在招生时没有先前的诊断或手术用于 inguinal .
- 使用生存分析来评估预测因素,包括年龄,性别,种族/种族,肥胖,酒精使用,吸烟和体育活动.
主要成果:
- 共有7,314名患者接受了 inguinal 的修复.
- 与非西班牙裔白人种族/种族,年龄较大,男性性别,剧烈的体力活动和酒精消费相关的更高发病率.
- 与非裔美国人,西班牙裔/拉丁裔和亚洲种族/种族以及肥胖/超重状况相关的较低发病率. 吸烟只增加了女性的风险.
结论:
- 阴带修复发生率与特定的人口,行为和临床因素有关.
- 非西班牙裔白人种族,年龄较大,男性性别,身体活动和酒精使用都有积极的关联.
- 肥胖,超重状况和少数民族种族/族裔与负面相关,这表明有针对性风险预测的潜力.
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