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进行减肥手术的青少年和成年人之间的种族差异的比较分析:来自MBSAQIP数据库的分析
Allison Frederick1, Georgia Lydon1, Aaron P Lesher2
1Department of Surgery, Medical University of South Carolina, Charleston, South Carolina.
概括
代谢手术中的种族差异在黑人青少年和成年人中仍然存在. 虽然大多数结果是相似的,但黑人患者接受的静脉血栓塞栓症预防措施较少,增加了肺栓塞风险.
科学领域:
- 腹部外科 腹部外科
- 健康差异 在健康上的差异
- 青少年和成年人的健康
背景情况:
- 代谢手术对青少年和成人肥胖是有效的.
- 在减肥手术患者群体中记录了种族差异.
- 了解这些年龄组之间的差异至关重要.
研究的目的:
- 分析患者的特征和术后结果.
- 为了确定种族差异是否在不同年龄组的黑人和白人减肥患者之间存在差异.
- 确定改善结果的潜在领域.
主要方法:
- 使用了美国代谢和腹部外科手术认证和质量改进计划 (MBSAQIP) 数据文件.
- 包括青少年 (≤19岁) 和成年人 (>19岁) 在2020-2022年接受了初级代谢和减肥手术 (MBS).
- 根据种族和年龄组,比较患者特征和30天的结果.
主要成果:
- 与白人同行相比,黑人青少年和成年人手术前BMI更高.
- 黑人成年人患糖尿病,高血压和功能不全的比例增加.
- 黑人患者 (青少年和成年人) 接受静脉血栓塞栓症 (VTE) 预防的可能性较低,导致术后肺栓塞 (PE) 率较高.
结论:
- 在接受代谢和减肥手术 (MBS) 的黑人青少年和成年人中,种族差异很明显.
- 大多数结局在黑人患者中不是临床上更糟糕的.
- 改善VTE预防是一个关键的,可修改的目标,以提高接受MBS的黑人患者的结果.
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