患有肥胖的创伤受害者在穿透创伤伤害方面是否幸运?
Talar Vartanoğlu Aktokmakyan1, Hasim Furkan Gullu1, Erkan Yavuz1
1Department of General Surgery, Bagcilar Training and Research Hospital, İstanbul-Türkiye.
概括
体重指数 (BMI) 和皮下脂肪组织厚度 (SATT) 可能在透腹部创伤中提供保护作用. 所有患者的死亡风险被确定为11mm的SATT切断值.
科学领域:
- 创伤外科 手术 创伤外科
- 紧急医疗 紧急医疗
- 手术重症监护手术重症监护
背景情况:
- 透腹部创伤在患者管理中带来了重大挑战.
- 了解诸如体重指数 (BMI) 和皮下脂肪组织厚度 (SATT) 等预后因素至关重要.
研究的目的:
- 调查BMI和SATT在透腹部创伤患者中的保护作用.
- 为了将这些人体测量指标与伤害严重程度得分和患者的结果相关联.
主要方法:
- 对234名透腹部创伤患者 (年龄大于16岁) 的回顾性分析.
- 收集的数据包括人口统计,受伤类型,BMI,SATT,输血,ICU入院,死亡率,ISS,PATI和FCIS.
- 患者被分为枪伤 (GW) 和刺伤 (SW) 组.
主要成果:
- 在所有患者或GW患者中没有显著的BMI差异;在SW患者的输血需求中存在显著差异 (p=0.035).
- 接收器操作特征 (ROC) 曲线分析发现,所有患者的死亡率SATT截止值为11毫米 (GW患者为12毫米).
- 在非手术患者的ICU入院,输血,住院时间,ISS,PATI和FCIS中观察到显著差异 (p<0.05);整体死亡率显示出显著差异 (p=0.002).
结论:
- 这项研究是第一个使用BMI和SATT以及已建立的腹部创伤得分来全面评估透腹部损伤的研究.
- 确定的SATT切割值需要在更大,多中心的研究中进行进一步调查.
- 在透创伤算法中,SATT可能成为一个有价值的参数.
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