肥胖:一般手术后急性功能衰竭的独立预测因素
Ananya Srivastava1, Brodie Nolan2, James J Jung3
1Department of Anesthesiology and Pain Medicine, University of Toronto, Toronto, CAN.
Cureus
|November 18, 2024
概括
肥胖增加了整体手术后术后急性功能衰竭 (ARF) 的风险. 较高的身体质量指数 (BMI) 类别显示ARF几率逐步上升,突出显著的关联.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 腹部外科 腹部外科
- 公共卫生 公共卫生
背景情况:
- 美国肥胖率的上升带来了重大的公共卫生挑战.
- 肥胖与增加的发病率和死亡率有关,特别是在手术后.
- 手术后急性功能衰竭 (ARF) 是手术后的一种严重并发症.
研究的目的:
- 为了研究肥胖和术后ARF之间的关系.
- 分析选用整体外科病人不同体质指数 (BMI) 类别的ARF风险.
主要方法:
- 使用2015-2019年国家外科质量改进计划数据库进行回顾性队列研究.
- 分析了超过424,000名接受选择性全科手术的患者.
- 多变量回归建模以评估BMI类别与术后ARF之间的关联,调整共变量.
主要成果:
- 0.8%的患者 (3638) 发生了术后的ARF.
- 患有ARF的患者年龄较大,BMI较高,并有更多的并发症.
- 与正常BMI相比,BMI类别上升时观察到ARF几率的逐步增加.
结论:
- 肥胖是选择性整体外科手术中术后ARF的一个独立风险因素.
- 较高的BMI类别与发展ARF的几率显著增加有关.
- 这一发现强调了在手术患者中管理肥胖的重要性,以减轻脏并发症.
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