DCR: 代谢综合征会增加结直肠癌手术的患者术后并发症的风险

2020-01-29 不详 MedSci原创

代谢综合症与各种腹部手术后的术后预后较差有关。然而,代谢综合征对结直肠癌手术后结局的影响仍然很少被研究。因此,这项研究的目的是确定接受选择性结直肠癌手术的患者的代谢综合征与短期术后预后之间的关系。

背景:
代谢综合症与各种腹部手术后的术后预后较差有关。然而,代谢综合征直肠癌手术后结局的影响仍然很少被研究。因此,这项研究的目的是确定接受选择性直肠癌手术的患者的代谢综合征与短期术后预后之间的关系。

设计:
这是一项回顾性队列研究。研究人员将在美国外科医生学院国家外科手术质量改善计划数据库中2010年至2016年接受大肠癌选择性结肠切除术的成年患者纳入本项研究。主要观察指标为术后30天的死亡率和发病率,计划外的再次手术,计划外的再次入院,手术时间和住院时间。

结果:
本项研究共分析了91566例患者。7603(8.3%)有代谢综合症。在未经调整的分析中,代谢综合征与30天总体发病率,肺部并发症,肾脏并发症,败血症并发症,心脏并发症,伤口并发症,输血,住院时间长和计划外再次入院的风险增加相关。在多变量分析中,代谢综合征仍然与肾脏并发症(OR = 1.44(95%CI,1.29–1.60)),浅表外科手术部位感染(OR = 1.46(95%CI,1.32-1.60)),深部手术部位感染(OR = 1.40(95%CI,1.15-1.70)显着相关。

结论:
接受大肠癌择期手术的代谢综合症患者术后30天出现肾脏并发症,伤口并发症和计划外住院的风险增加。

原始出处:

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    2020-02-23 丁鹏鹏
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    2020-01-30 1478fa69m73暂无昵称

    肥胖引起一系列问题

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