肥胖对关节骨折固定后短期和长期并发症的影响
Abhinav Janghala1, Kian Niknam, Ryan Freshman
1Department of Orthopaedic Surgery, University of California-San Francisco, San Francisco, CA.
Journal of orthopaedic trauma
|August 16, 2024
概括
肥胖增加了关节开放减少内部固定 (ORIF) 后并发症的风险. 肥胖患者面临更高的感染率,再入院率,非联合率和关节炎,需要对外科医生就这些风险进行教育.
科学领域:
- 整形外科手术 整形外科手术
- 肥胖研究的研究.
- 患者的治疗结果.
背景情况:
- 肥胖是一个日益严重的公共卫生问题.
- 脚开放缩减内固定 (ORIF) 是一种常见的外科手术程序.
- 肥胖对ORIF结果的影响需要进一步调查.
研究的目的:
- 为了评估肥胖和手术后并发症之间的关联,以下是关节ORIF.
- 为了比较不同肥胖层次的并发症率.
- 为了确定接受脚ORIF的肥胖患者的特定风险.
主要方法:
- 使用PearlDiver-Mariner全付费者数据库 (2010-2021) 进行的回顾性队列研究.
- 包括患有脚ORIF的患者和至少2年的随访.
- 按身体质量指数 (BMI) 分为非肥胖,肥胖,致病肥胖和超肥胖的群体.
- 1:1匹配分析控制人口统计和并发症.
主要成果:
- 分析了160,415名接受脚ORIF的患者.
- 在肥胖程度上升的患者中,90天再入院,尿路感染,心血管/肺炎,肺炎,表面感染和心肺炎的比率显著更高 (P < 0.001).
- 在肥胖组中,2年后增加非结合 (OR: 2.36) 和创伤后关节炎 (OR: 2.18) 的几率 (P < 0.001).
结论:
- 肥胖独立地与关节ORIF后的术后医学并发症增加有关,包括感染.
- 肥胖患者的非联合和创伤后关节炎的发病率更高.
- 外科医生应该教育肥胖患者关于关节ORIF相关的高风险.
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