肥胖是气管切除术后延长机械通风的危险因素之一
Jacqueline Tucker1, Nicole Ruszkay2, Sara Sandifer1
1College of Medicine Pennsylvania State University Hershey Pennsylvania USA.
Laryngoscope investigative otolaryngology
|December 18, 2024
概括
接受气管切除术的肥胖患者在医院住院时间更长,机械通风持续时间更长. 了解身体质量指数 (BMI) 对气管切除术患者的护理的影响,对于明智的决策至关重要.
科学领域:
- 医学研究 医学研究
- 临床结果 临床结果
- 患者护理 患者护理
背景情况:
- 身体质量指数 (BMI) 是患者治疗结果的关键因素.
- 气管切除术是一种需要仔细考虑患者因素的手术.
- 了解BMI对气管切除术患者的影响对于优化护理至关重要.
研究的目的:
- 为了比较不同体质指数 (BMI) 分组的患者结果,在气管切除术后.
- 研究BMI与关键临床结果 (如停留时间和机械通风持续时间) 之间的关系.
主要方法:
- 对391名经过气管切除术的成年患者进行了回顾性图表审查.
- 患者被分为五个BMI组:体重不足,体重正常,超重,肥胖和严重肥胖.
- 统计分析包括Kruskal-Wallis,Chi-square,日志等级测试和Cox回归.
主要成果:
- 在BMI组之间观察到停留时间 (p=.015) 和机械通风持续时间 (p<.001) 的显著差异.
- 与正常体重患者相比,肥胖患者的住院时间和通风持续时间更长.
- 较高的BMI与出院时依赖呼吸机的可能性增加相关 (p<.001) 和气管切割变化率降低 (调整HR 0.86).
结论:
- 接受气管切除术的肥胖和严重肥胖患者面临更长的住院时间和机械通风持续时间.
- 增加的BMI与在出院时依赖呼吸机的可能性更高有关.
- 建议对患者和家人提供有关BMI对气管切除术结果的影响的咨询.
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