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减肥手术后的长期死亡率与匹配的对照:基于国家健康和营养检查调查的研究
Benjamin Lee Clapp1, Daisy Proksch2, Jorge Urbina3
1El Paso Bariatric Surgery, El Paso, Texas.
概括
与对照组相比,腹部外科手术患者面临更高的自杀和肝脏疾病死亡的长期风险. 心血管疾病和癌症仍然是主要原因,强调需要持续监测和心理社会支持.
科学领域:
- 腹部外科手术的结果
- 长期死亡率分析
- 公共卫生研究 公共卫生研究
背景情况:
- 腹腔外科手术改善了短期的结果,但长期的死亡原因不太清楚.
- 确定长期死亡原因对于患者护理和风险咨询至关重要.
- 这项研究调查了减肥手术后的长期死亡模式.
研究的目的:
- 分析美国减肥手术患者长期死亡原因的变化.
- 为了比较肥胖症患者的死亡原因与匹配的非手术对照.
- 评估与肥胖和正常体重一般人群相对的死亡原因.
主要方法:
- 使用国家健康和营养检查调查 (NHANES) 链接死亡档案 (2005-2018).
- 根据年龄,性别和BMI,不包括早期死亡,匹配了减肥手术患者 (n=435) 和对照组 (n=1740).
- 使用ICD-10代码对死亡原因进行分类,并分析生存趋势.
主要成果:
- 减肥患者的主要死亡原因是心血管疾病 (30%),癌症 (21%) 和糖尿病 (9%).
- 与对照组相比,腹患者的自杀率 (6.6%) 和肝脏疾病 (8.5%) 的比例显著更高.
- 在减肥组中观察到自杀 (SMR 3.33) 和肝病 (SMR 3.00) 的风险增加.
结论:
- 低血压手术后的长期死亡率主要是由心血管和瘤原因引起的.
- 自杀和肝脏相关死亡率的增加需要有针对性的随访护理.
- 增强的心理社会支持对于减肥手术患者来说至关重要,以应对已识别的风险.
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