感染性内心炎的体重指数和预后
Raquel Frías-García1,2, Patricia Muñoz García3, Marina Machado Vilchez4
1Universidad Europea de Madrid, Faculty of Medicine, Health and Sports, Department of Nursing, Madrid, Spain.
Infectious diseases (London, England)
|April 1, 2025
概括
营养不良影响传染性内心炎 (IE) 的预后. 体重不足和肥胖与更糟糕的结果有关,低体重独立预测IE患者的1年死亡率.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 营养科学 营养科学
背景情况:
- 营养不良是影响各种心脏病预后的已知因素.
- 关于身体质量指数 (BMI) 对感染性内心炎 (IE) 结果的影响的数据有限.
研究的目的:
- 研究身体质量指数 (BMI) 对感染性内心炎 (IE) 患者预后的影响.
主要方法:
- 对IE患者国家登记册的分析 (2008-2021年).
- 在不同的BMI类别中比较住院和1年死亡率:体重不足,正常体重,超重和肥胖.
主要成果:
- 体重不足的患者更年轻,三体IE的患病率更高.
- 住院死亡率:体重不足 (26.4%),体重正常 (19.9%),体重超重 (22.4%),肥胖 (27.8%).
- 一年死亡率:体重不足 (34.1%),体重正常 (25.8%),超重 (27.8%),肥胖 (32.5%).
- 体重不足状况与1年死亡率的增加显著相关 (HR 1.94).
结论:
- 与正常体重或超重个体相比,体重不足或肥胖的患者感染性内心炎的预后较差.
- 低体重是感染性内心炎1年死亡率的独立预测因素.
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