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颈部周长与自发性脑出血患者的不良预后相关。

Neck Circumference Is Associated With Poor Outcome in Patients With Spontaneous Intracerebral Hemorrhage.

作者信息

Li Yujian, Zhou Huiqing, Yang Xiang, Zheng Jun, Zhang Fan, Xu Mangmang, Li Hao

机构信息

Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, China.

Department of Intensive Care Unit, Fourth People's Hospital of Sichuan Province, Chengdu, China.

出版信息

Front Neurol. 2021 Feb 1;11:622476. doi: 10.3389/fneur.2020.622476. eCollection 2020.

DOI:10.3389/fneur.2020.622476
PMID:33597913
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7882541/
Abstract

This study aimed to assess the association between neck circumference (NC) and functional outcome in intracerebral hemorrhage (ICH) patients. We prospectively analyzed data from ICH patients who received treatment at our institution from January 2018 to November 2019. Patients were categorized into two groups according to 180-day modified Rankin scale (MRS) scores. Univariate and multivariate analyses were performed to assess whether NC was associated with poor outcome in ICH patients. Receiver operating characteristic (ROC) curve analysis was performed to determine the significance of NC in predicting the functional outcome of ICH patients. A total of 312 patients were enrolled in our study. Multivariate logistic regression analysis indicated that NC was an independent predictor of poor 180-day functional outcome [odds ratio (OR) = 1.205, 95% confidence interval (CI): 1.075-1.350, = 0.001]. ROC analysis revealed that NC could predict poor functional outcome at 6 months. NC is an independent predictor of unfavorable functional outcome at 6 months in ICH patients.

摘要

本研究旨在评估脑出血（ICH）患者的颈围（NC）与功能结局之间的关联。我们前瞻性分析了2018年1月至2019年11月在我院接受治疗的ICH患者的数据。根据180天改良Rankin量表（MRS）评分将患者分为两组。进行单因素和多因素分析以评估NC是否与ICH患者的不良结局相关。进行受试者工作特征（ROC）曲线分析以确定NC在预测ICH患者功能结局中的意义。本研究共纳入312例患者。多因素逻辑回归分析表明，NC是180天功能结局不良的独立预测因素[比值比（OR）= 1.205，95%置信区间（CI）：1.075 - 1.350，P = 0.001]。ROC分析显示，NC可预测6个月时的功能结局不良。NC是ICH患者6个月时功能结局不良的独立预测因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de5e/7882541/94cbca55ad02/fneur-11-622476-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de5e/7882541/458e38e1723f/fneur-11-622476-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de5e/7882541/25c895c6d745/fneur-11-622476-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de5e/7882541/94cbca55ad02/fneur-11-622476-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de5e/7882541/458e38e1723f/fneur-11-622476-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de5e/7882541/25c895c6d745/fneur-11-622476-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de5e/7882541/94cbca55ad02/fneur-11-622476-g0003.jpg

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Biomed Res Int. 2019 Jun 9;2019:4808541. doi: 10.1155/2019/4808541. eCollection 2019.
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Performance of neck circumference to predict obesity and metabolic syndrome among adult Saudis: a cross-sectional study.颈部周长对沙特成年人肥胖和代谢综合征的预测效能：一项横断面研究。
BMC Obes. 2019 Apr 1;6:13. doi: 10.1186/s40608-019-0235-7. eCollection 2019.
3
Anthropometrical phenotypes are important when explaining obstructive sleep apnea in female bariatric cohorts.
当解释女性肥胖队列中的阻塞性睡眠呼吸暂停时，人体测量表型很重要。
J Sleep Res. 2019 Oct;28(5):e12830. doi: 10.1111/jsr.12830. Epub 2019 Feb 11.
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Predictors of moderate to severe obstructive sleep apnea: identification of sex differences.预测中重度阻塞性睡眠呼吸暂停的因素：性别差异的鉴定。
Sleep Breath. 2019 Dec;23(4):1151-1158. doi: 10.1007/s11325-019-01790-x. Epub 2019 Feb 4.
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Evaluation of neck circumference as an easy and reliable predictor for non-alcoholic fatty liver disease.评估颈围作为非酒精性脂肪性肝病的一种简便可靠预测指标。
Turk J Gastroenterol. 2019 Feb;30(2):163-170. doi: 10.5152/tjg.2018.18004.
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