皮症和皮性肥胖症:它们与部骨折患者的术后结果的相关性
Betül Gülsüm Yavuz Veizi1, Valbona Imeri2, Ömer Faruk Naldöven3
1Department of Internal Medicine, Division of Geriatrics, Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Turkey.
Journal of hospital medicine
|February 16, 2025
概括
皮症和皮性肥胖症增加了部骨折患者的死亡风险. 萨科佩尼性肥胖症比单独的萨科佩尼症具有更高的死亡风险,突出其预后意义.
科学领域:
- 老年学和老年医学是老年学和老年医学.
- 整形外科手术 整形外科手术
- 营养科学 营养科学
背景情况:
- 肉症是与年龄相关的肌肉质量和功能丧失,显著影响老年人的生活质量.
- 这种情况特别常见于患有持续关节骨折的老年患者.
研究的目的:
- 为了研究骨折患者的萨尔科佩尼亚,萨尔科佩尼肥胖症和死亡率之间的联系.
- 检查这些情况与住院时间之间的关系.
- 在这个患者队列中确定增加死亡率的风险因素.
主要方法:
- 对311名接受关节骨折手术的患者 (≥60岁) 进行了回顾性队列研究.
- 使用CT扫描的尾骨肌肉质量指数 (ASMI) 和psoas肌肉指数来评估萨尔科佩尼亚.
- 分析包括Cox和二进制逻辑回归,根据年龄,性别和并发症进行调整.
主要成果:
- 根据ASMI定义的肉类症与更高的1年死亡风险有关 (HR:1.80,p=.034).
- 标记性肥胖症显示死亡风险的增加甚至更大 (HR:2.68,p=.016).
- 经过调整后,萨科佩尼亚与长时间住院并没有显著相关.
结论:
- 骨折是骨骨折患者死亡率的独立预测因子.
- 与单独的皮症相比,sarcopenic肥胖症的死亡风险更高.
- 这些发现强调了评估老年关节骨折患者的预后的重要性.
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