使用人体测量方法评估的术前营养状况与儿科手术患者的术后并发症之间的关系
Rahul Saxena1, Tripti Agrawal2, Rahul Saxen2
1Paediatric Surgery, All India Institute of Medical Sciences, Jodhpur, 342001, Rajasthan, India. drrahulsaxena@gmail.com.
Pediatric surgery international
|June 13, 2024
概括
通过人体测量评估的儿科手术患者的术前营养状况与术后并发症没有相关性. 需要进一步的研究来证实这些发现在儿科手术的结果.
科学领域:
- 儿科手术 儿科手术
- 营养科学 营养科学
- 临床结果研究研究
背景情况:
- 营养不良在儿科外科患者中很普遍.
- 评估手术前的营养状况对于预测手术结果至关重要.
- 人类测量标准通常用于评估营养状况.
研究的目的:
- 调查儿科手术患者手术前营养状况和术后并发症之间的关联.
- 评估人类测量方法对儿童手术结果的预测价值.
- 为了确定患儿选择性手术后并发症的危险因素.
主要方法:
- 650名儿科患者 (6个月至18岁) 接受选择性手术的前性观察队列研究.
- 营养状况使用Z分数来评估体重,长度和BMI.
- 使用Clavien-Dindo分类监测一个月的术后并发症;住院和再入院是次要结果.
主要成果:
- 很大一部分患者 (40%以上) 呈现营养不良 (消耗,发育迟缓或体重不足).
- 在营养不良和营养良好的儿科手术患者之间没有观察到术后并发症率的显著差异.
- 手术持续时间长 (>2小时) 与并发症增加,住院时间长,再入院率更高有关.
结论:
- 基于人体参数的术前营养状况似乎不是儿科手术患者术后并发症的重要预测因素.
- 需要进一步的随机对照试验,以确定手术前营养不良与该人群的临床结果之间的确切联系.
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