萨科佩尼亚对急性门炎患者决策过程的临床影响
Caterina Puccioni1, Pietro Fransvea1,2, Elena Rodolfino3
1UOC Chirurgia d'Urgenza e del Trauma, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.
Journal of clinical medicine
|January 11, 2025
概括
随着年龄的增长而导致的肌肉损失 - - 萨尔科佩尼亚 - - 影响了急性分泌体炎 (AD) 的手术决策,但并没有恶化患者的结果. 在手术前的评估中,应考虑在AD治疗中治疗肉症.
科学领域:
- 胃肠病学 胃肠病学
- 老年病的医生 老年病的医生
- 手术瘤学手术瘤学
背景情况:
- 急性分泌炎 (AD) 是分泌炎的炎症并发症,在老年人群中发病率增加.
- 随着年龄的增长,骨肌肉质量的丧失,即萨尔科佩尼亚,越来越被认为是老年患者护理的重要因素.
研究的目的:
- 评估萨科佩尼亚对临床决策和急性分泌体炎患者结果的影响.
- 为了确定萨科佩尼亚是否影响AD患者的外科治疗和非手术治疗的成功率.
主要方法:
- 通过CT扫描诊断的237名患有AD (Hinchey ≥2) 的患者的回顾性分析.
- 使用从L3CT扫描中得出的骨肌肉指数 (SMI) 来评估萨尔科佩尼亚.
- 在sarcopenic和非sarcopenic组之间比较手术结果,非手术管理 (NOM) 的成功和并发症.
主要成果:
- 46%的阿尔茨海默氏症患者患有萨尔科佩尼亚,这些患者年龄较大,BMI较低,脆弱性更高.
- 与非sarcopenic患者相比,sarcopenic患者更有可能接受哈特曼手术.
- 麻症没有显著影响整体发病率,死亡率或NOM失败,但与麻症患者的重复手术有关,BMI>25.
结论:
- 萨科佩尼亚显著影响了AD的外科治疗选择,例如哈特曼手术.
- 尽管影响了外科手术的决定,但萨科佩尼亚并不能预测阿尔茨海默病患者的更糟糕的临床结果 (发病率,死亡率).
- 术前评估是对优化手术决策和在急性角炎患者的护理至关重要.
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