体重指数对成人心脏手术结果的影响

A. H. Qabaha, S. Al-Fawares, AbdaAllah Ibrahim Alqaisi, Wael Alshobaki, Rawand Hayel Al-Adwan, A. F. Mohd, Nisrein Mousa Al-Aqqad
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摘要

研究背景研究目的是确定成人心脏手术患者超重和肥胖的发生率,并评估体重指数对心脏手术结果的影响:对阿丽雅王后心脏研究所(QAHI)2023 年 9 月至 2024 年 2 月期间的成人心脏手术数据进行回顾性观察分析。对患者数据进行记录和分析。根据世界卫生组织(WHO)的体重指数(BMI)分类将患者分为不同类别。比较了世界卫生组织体重指数分类的术前、术中和术后特征。还比较了正常体重、超重和肥胖类别的恢复参数,如拔管时间、重症监护室住院时间、住院时间和死亡率。结果:对 141 名成人心脏手术患者的数据进行了分析。男性患者为 115 人(81.56%),女性患者为 26 人(18.44%),男女比例为 4.4。患者的平均年龄为 56.66 岁(标准差 10.26)。大多数患者肥胖(39%)和超重(34%)。体重正常者的糖尿病发病率为 41.7%;超重者的糖尿病发病率上升至 58.4%,肥胖者的糖尿病发病率达到 60%。随着体重指数的增加,高血压的发病率也在增加(超重组为 75%,肥胖组为 76.4%)。肥胖组的平均住院时间较长(13 天),但再次手术率和死亡率较低:结论:本研究中的大多数成人心脏手术患者都是肥胖和超重患者。结论:本研究中的成年心脏手术患者大多肥胖和超重,超重和肥胖患者的高血压、糖尿病和缺血性心脏病发病率较高。体重指数较高的患者住院时间较长,死亡率较低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of body mass index on outcome of adult cardiac surgery
Background: The objectives of study were to determine the incidence of overweight and obesity in adult cardiac surgical patients, and to evaluate the impact of BMI on outcome from cardiac surgery. Methods: Retrospective observational analysis of data of adult cardiac surgery at Queen Alia heart institute (QAHI) in the period of time between September 2023 and February 2024. Patients’ data were recorded and analysed. Patients were divided in categories according to the world health organisation (WHO) body mass index (BMI) classification. The WHO BMI categories were compared regarding their pre-operative, intra-operative and post-operative characteristics. Recovery parameters such as extubation time, length of ICU stay, length of hospitalisation and mortality were also compared between normal weight, overweight and obesity categories. Ethical committee approval obtained. Results: Data from 141adult cardiac surgical patients was analysed. Male patients were 115 (81.56%) and female patients were 26 (18.44%) with a male to female ratio of 4.4. Mean age of patients was 56.66 (SD 10.26). Majority of patients were obese (39%) and overweight (34%). The Incidence of diabetes in the normal weight category was 41.7%; while in the overweight category it increased to 58.4% and reached 60% in the obese category. The incidence of hypertension (75% in the overweight and 76.4% in the obese categories) increased with the increase of the BMI. Obese category had prolonged mean duration of hospitalisation (13 days); however, lower rates of re-opening and mortality. Conclusions: Most of the adult cardiac surgical patients in this study are obese and overweight. The overweight and obese patients had higher rates of hypertension, diabetes and ischaemic heart disease. Longer hospitalisation and lower mortality rates were noted in patients with higher BMI.
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