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The effect of body mass index on the risk of surgical site infection
该研究发现，当体重指数（BMI）从正常肥胖增加到病态肥胖时，几乎所有手术类型的手术部位感染（SSI）风险都会增加。
在荷兰国家监测网络PREZIES中分析的387,919名患者中，1％体重不足，30％体重正常，40％超重，27％肥胖，2％病态肥胖。
SSI的增加在清洁伤口的程序中最为显着，对于全髋关节手术后病态肥胖患者的深度SSI的相对风险高达7.8。
在胸部和腹部手术中，表面影响比深SSI更大。
This study found a trend of increasing risk of surgical site infections (SSIs) for almost all surgery types when body mass index (BMI) increased from normal to morbidly obese.
Of 387,919 patients analyzed in the Dutch national surveillance network PREZIES, 1% were underweight, 30% had normal weight, 40% were overweight, 27% were obese, and 2% were morbidly obese.
The increase in SSIs was most profound in procedures with clean wounds, with relative risks for morbidly obese patients ranging up to 7.8 for deep SSIs after total hip procedures.
In chest and abdominal procedures, the impact was larger for superficial than deep SSIs.
The results provide evidence for the need of preventive programs targeting SSIs in overweight and obese patients, as well as for the prevention of obesity in the general population, the researchers say.
Meijs, A., Koek, M., Vos, M., Geerlings, S., Vogely, H., & De Greeff, S. (2019). The effect of body mass index on the risk of surgical site infection. Infection Control & Hospital Epidemiology, 40(9), 991-996. doi:10.1017/ice.2019.165 |
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发表于 2019-9-5 08:23:05
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