肥胖对 Clostridioides difficile 感染结果的影响:一项回顾性队列研究
Alaa Atamna1,2, Manar Khalaila2, Tanya Babich2,3
1Infectious Diseases Unit, Rabin Medical Center, Beilinson Hospital, 39 Jabotinsky Road, Petah-Tikva 49100, Israel.
肥胖并没有显著增加住院患者的90天死亡风险. 然而,肥胖患者在重症监护室 (ICU) 的入院率更高,住院时间更长.
科学领域:
- 传染性疾病 传染性疾病
- 临床医学 临床医学
- 流行病学 流行病学
背景情况:
- 较高的体重指数 (BMI) 与增加的Clostridioides difficile感染 (CDI) 风险有关.
- 这种关联存在于抗生素使用或医疗保健暴露的独立.
研究的目的:
- 为了比较肥胖 (BMI ≥30 kg/m2) 和非肥胖 (BMI <30 kg/m2) 的住院患者诊断为CDI之间的结果.
- 确定与CDI患者90天死亡率相关的风险因素.
主要方法:
- 889名住院CDI患者的回顾性队列研究 (2013年1月至2020年1月).
- 主要结局:90天全因死亡率.
- 二次结局:30天死亡率,切除术,ICU入院,住院时间 (LOS). 进行了多变量分析.
主要成果:
- 肥胖患者更年轻,糖尿病发病率更高.
- 肥胖患者的90天死亡率较低 (15%),而非肥胖患者 (23%) 的死亡率较低 (p=0.04).
- 肥胖患者有更高的ICU入院率 (7%vs3%) 和更长的LOS (19vs12天).
结论:
- 在调整了混因素后,肥胖并不是CDI患者90天死亡率的重要独立风险因素.
- 在这个患者队列中,肥胖与急症室入院增加和更长的住院时间有关.
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