关于术前营养对儿科手术术术后结果的影响的前性研究,使用一种新的两轴分类方案
Benjamin Chacko1, M M Zameer1, Vinay1
1Department of Paediatric Surgery, Mazumdar Shaw Medical Center, Narayana Health, Bengaluru, Karnataka, India.
Journal of Indian Association of Pediatric Surgeons
|February 19, 2025
概括
一项针对儿科手术患者的新的双轴营养评估显示出有前途的结果. 体重不足和矮小的儿童面临更高的术后并发症风险,突出需要有针对性的营养支持.
科学领域:
- 儿科手术 儿科手术
- 营养科学 营养科学
- 临床结果研究研究
背景情况:
- 营养不良是住院手术患者的一个重要问题.
- 现有的营养评估方案缺乏针对儿科外科队伍的特异性.
- 一种新的两轴分类旨在解决儿科营养评估中的这一差距.
研究的目的:
- 评估一种新的两轴营养分类方案的可行性.
- 确定手术前营养状况对儿科手术患者临床结果的影响.
主要方法:
- 儿科手术患者的前性观察队列研究 (2021年1月 - 2022年9月).
- 进行了手术前人体测量,并使用两轴方案 (BMI和身高z-scores) 将患者分类.
- 术后并发症记录并使用Clavien-Dindo分类在30天内进行分级.
主要成果:
- 包括827名患者 (1022次手术);男性70.5%,年龄在5岁以下的33%.
- 整体并发症率为10.1%.
- 与非异常值相比",低体重短"组表现出最高的并发症发生率 (19.7%),感染和整体并发症风险增加.
结论:
- 新的双轴营养分类是可行的,并预测儿科手术结果.
- 体重不足和矮小的儿科手术患者患术后并发症的风险明显更高.
- 该计划有助于识别需要营养干预的高风险儿科手术患者.
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