肥胖对气管切除术时间的影响:一个多机构的回顾性研究
Andrew Yousef1, Shady I Soliman1, Isaac Solomon1
1Department of Otolaryngology, University of California San Diego, La Jolla, California, U.S.A.
The Laryngoscope
|June 19, 2024
概括
增加的体重指数 (BMI) 与气管切除术前更长的输管时间有关. 然而,患有致病性肥胖症的患者没有显示出更高的手术回归率或30天死亡率.
科学领域:
- 关键护理医学 关键护理医学
- 外科手术的结果
- 肥胖问题研究研究
背景情况:
- 肥胖是一个日益严重的公共卫生问题,影响了各种医疗程序.
- 了解身体质量指数 (BMI) 和气管切除术结果之间的关系对于患者护理至关重要.
- 以前的研究表明,肥胖和手术并发症之间存在潜在联系,但需要关于气管切除术时间和结果的具体数据.
研究的目的:
- 调查高BMI和气管切除术时间之间的关联.
- 评估BMI对短期手术并发症的影响,包括返回手术室.
- 评估BMI对气管切除术后30天死亡率的影响.
主要方法:
- 从MIST数据库中对2013-2016年间接受气管切除术的3369名患者进行了回顾性分析.
- 利用后勤回归来分析肥胖对气管切除术时间和并发症的影响,并根据相关共变量进行调整.
- 在正常BMI,超重,肥胖和病态肥胖患者群体之间比较结果.
主要成果:
- 肥胖与气管切除术前延长的输管时间有显著的关联 (p=0.001).
- 与正常BMI患者 (9.0天;p<0.001) 相比,致病性肥胖患者 (BMI ≥35 kg/m2) 的中位数输管时间较长 (11.0天).
- 在多变量分析中,在BMI组之间没有观察到30天返回手术室 (p=0.12) 或死亡率 (p=0.90) 的统计学上显著差异.
结论:
- 体重指数升高,特别是病态肥胖,独立地与气管切除术前输管持续时间的增加有关.
- 尽管输管时间较长,但致病性肥胖似乎不会增加需要重新手术或30天死亡率的短期手术并发症的风险.
- 这些发现表明,虽然肥胖会影响管切除术前的输管时间,但它可能不会显著地提高立即的术后风险.
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