患有急性胰腺炎的结果 与肥胖相关的住院治疗
Neelam Khetpal1, Mohamad Sharbatji2, Mohammad Maysara Asfari3
1Hartford HealthCare Medical Group at Hartford Hospital, Department of Hospital Medicine, Hartford, CT, 06102, USA.
Digestive diseases and sciences
|February 13, 2025
概括
由于急性胰腺炎 (AP) 住院的肥胖和超重个体与正常体重患者相比,住院死亡率相似. 然而,肥胖与增加的并发症和AP住院治疗中的医疗保健利用有关.
科学领域:
- 医学研究 医学研究
- 临床结果 临床结果
- 公共卫生 公共卫生
背景情况:
- 身体质量指数 (BMI) 是各种健康状况的一个关键因素.
- 急性胰腺炎 (AP) 是住院的重要原因,具有不同的风险因素.
- 了解BMI对AP住院的影响对于患者管理和资源分配至关重要.
研究的目的:
- 为了评估身体质量指数 (BMI) 和急性胰腺炎 (AP) 在美国住院的情况之间的关系.
- 为了比较不同BMI类别 (正常体重,超重,肥胖) 的住院特征和结果.
主要方法:
- 利用美国国家住院样本数据库对2020年美国AP住院情况进行分析.
- 根据BMI将患者分为正常体重,超重和肥胖.
- 患者人口统计,住院特征和临床结果的比较.
主要成果:
- 在2020年,20%的AP住院患者是肥胖患者 (n=53,000),2.6%的超重患者 (n=3980),和77.4%的正常体重患者 (n=210,000).
- 在所有BMI组中,全因住院患者的死亡率相似 (0.65%的肥胖者与0.63%的超重者与0.6%的正常体重).
- 肥胖患者患全身并发症的几率更高 (OR: 1.7) 并需要输管或血管压缩剂 (OR: 1.75). 超重的患者增加了对静脉管的使用 (OR: 1.74).
- 与正常体重患者相比,肥胖AP住院的医疗费用较高 (+21,626美元),住院时间较长 (+2.14天).
结论:
- 肥胖和超重状态不会显著增加急性胰腺炎的住院患者死亡率.
- 患有AP的肥胖患者经历了更高的并发症发生率和更大的医疗保健资源利用率.
- 这些发现强调了体重管理在减轻AP严重程度和医疗负担方面的重要性.
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