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体重指数对经过全关节整形术 (TAA) 后急性术后并发症的影响

Yianni Bakaes¹, Tyler Gonzalez², James W Hardin³

¹University of South Carolina School of Medicine Columbia, 2 Medical Park Suite 404, Columbia, SC 29203, United States.

Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons

|November 25, 2023

概括

身体质量指数 (BMI),年龄和性别在全脚关节整形术 (TAA) 后不会显著影响急性并发症风险. 这项研究发现,TAA患者在各种BMI类别,年龄组或性别之间没有增加风险.

科学领域:

整形外科手术整形外科手术
关节质整术是指关节质整术.
患者的治疗结果.

背景情况:

关节整形术 (TAA) 是关节病理的关键治疗方法,但存在关于并发症和失败率的担忧.
患者的体重指数 (BMI) 是影响术后结果的可修改因素.
了解BMI,年龄和性别对TAA并发症的影响对于术前患者评估至关重要.

研究的目的:

调查身体质量指数 (BMI),年龄和性别对关节整形术 (TAA) 后急性术后并发症发生率的影响.
确定手术前患者的特征是否显著改变TAA后的并发症风险.

主要方法:

用NSQIP数据库对2006年至2021年间接受TAA的成年患者进行回顾性审查.
使用日志-二项式模型来估计风险比率,根据年龄和性别进行调整.
患者根据BMI (体重不足,健康体重,超重,肥胖,严重肥胖) 分类,超重作为参考组.

主要成果:

与超重基准组相比,在体重不足,体重健康,肥胖或患有肥胖症的BMI组中没有观察到急性并发症风险的统计学上显著差异.
年龄类别和性别也没有显示出与TAA后急性并发症率的统计学意义上的关联.
分为主要和次要并发症的分层显示,BMI组之间没有显著差异.

结论:

身体质量指数 (BMI),年龄和性别没有被发现是经过全关节整形术 (TAA) 后30天术后并发症的统计学上显著预测因素.
这些患者因素似乎不会增加TAA后重大或轻微并发症的风险.

关键词:

急性并发症急性并发症这就是为什么BMI是BMI.主要的并发症主要的并发症轻微的并发症轻微的并发症整体脚关节整形术 (TAA) 是指

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