在外科创伤患者的粮食不安全和临床结果
Anam N Ehsan1, Annabelle Jones1, Shivangi Saha2
1Department of Surgery, Division of Plastic and Reconstructive Surgery, Brigham & Women's Hospital, Boston, Massachusetts.
JAMA surgery
|March 5, 2025
概括
粮食不安全性显著增加了手术后并发症和外科创伤患者住院时间. 食品不安全性查和医疗定制餐等干预措施可以改善外科手术的结果.
科学领域:
- 全球健康 全球健康
- 外科手术的结果
- 营养科学 营养科学
背景情况:
- 粮食不安全影响全球超过13亿人,对初级保健有已知的影响,但对外科手术结果的影响尚未得到充分研究.
- 粮食不安全对手术患者康复和并发症的影响需要进一步调查.
研究的目的:
- 研究成年外科创伤患者的粮食不安全和术后临床结果之间的关联.
- 为了确定手术前或新出现的手术后食品不安全性是否会影响手术恢复.
主要方法:
- 印度3个高等保健中心的前性纵向队列研究 (2021年10月至2023年6月).
- 成年外科创伤患者在入院和1,3个月后使用饥饿生命体征工具进行了调查.
- 评估的结果包括术后并发症和停留时间.
主要成果:
- 在848名患者中,21%的人报告食物不安全.
- 患有粮食不安全症的患者的并发症率更高 (41.4%vs12.5%),住院时间更长 (13vs5天).
- 出院后新出现的粮食不安全性增加了以后并发症的风险.
结论:
- 粮食不安全与外科创伤患者手术后后果的恶化有显著联系.
- 建议对食品不安全进行常规查,并采取医疗定制餐等干预措施,以减轻不良外科手术后果.
- 解决粮食不安全问题对于改善手术患者康复和减少医疗保健负担至关重要.
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