一级创伤中心中病态肥胖髋臼骨折患者的围手术期及急性护理结果
Perioperative and acute care outcomes in morbidly obese patients with acetabular fractures at a Level 1 trauma center.
作者信息
Vincent Heather K, Haupt Edward, Tang Sonya, Egwuatu Adaeze, Vlasak Richard, Horodyski MaryBeth, Carden Donna, Sadisivan Kalia K
机构信息
Department of Orthopaedics and Rehabilitation, Divisions of Orthopaedic Trauma and Research, Interdisciplinary Center for Musculoskeletal Training and Research, University of Florida, Gainesville, FL 32611, USA.
出版信息
J Orthop. 2014 May 10;11(2):58-63. doi: 10.1016/j.jor.2014.04.016. eCollection 2014 Jun.
BACKGROUND
Controversy exists regarding obesity-related injury severity and clinical outcomes after orthopedic trauma.
PURPOSE
The purposes of this study were to expand our understanding of the effect of morbid obesity on perioperative and acute care outcomes after acetabular fracture.
METHODS
This was a retrospective review of patients with acetabular fracture after trauma. Non-morbidly obese (BMI < 35 kg/m(2)) and morbidly obese (BMI ≥ 35 kg/m(2); N = 81). Injury severity scores and Glasgow Coma Scale scores (GCS) were collected. Perioperative and acute care outcomes were positioning and operative time, extra fractures, estimated blood loss, complications, hospital charges, ventilator days, transfusions, length of stay (LOS) and discharge destination. Positioning and operative times were longer in morbidly obese patients (p < 0.05). No other differences existed between groups.
CONCLUSIONS
Orthopedic trauma surgeons and care teams can expect similar acute care outcomes in morbidly obese and non-morbidly obese patients with acetabular fracture.
背景
关于肥胖相关的骨科创伤损伤严重程度及临床结果存在争议。
目的
本研究的目的是加深我们对病态肥胖对髋臼骨折围手术期及急性护理结果影响的理解。
方法
这是一项对创伤后髋臼骨折患者的回顾性研究。非病态肥胖（BMI<35kg/m²）和病态肥胖（BMI≥35kg/m²；N=81）。收集损伤严重程度评分和格拉斯哥昏迷量表评分（GCS）。围手术期及急性护理结果包括体位摆放及手术时间、额外骨折、估计失血量、并发症、住院费用、呼吸机使用天数、输血、住院时间（LOS）及出院去向。病态肥胖患者的体位摆放及手术时间更长（p<0.05）。两组之间不存在其他差异。
结论
骨科创伤外科医生及护理团队可以预期，病态肥胖和非病态肥胖的髋臼骨折患者的急性护理结果相似。
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