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体重指数对全膝关节置换手术时长的影响:一项前瞻性横断面研究。

Effect of body mass index on duration of total knee replacement surgery: A prospective cross sectional study.

作者信息

Abbas Zamin, Hafeez Sohail, Naseem Ali, Habib Yasir, Mumtaz Hassan

机构信息

Shifa International Hospital, Islamabad, Pakistan.

Health Services Academy, Islamabad, Pakistan.

出版信息

Ann Med Surg (Lond). 2022 Sep 23;82:104637. doi: 10.1016/j.amsu.2022.104637. eCollection 2022 Oct.

Abstract

INTRODUCTION

Obesity and increased BMI has raised concerns throughout the globe. As obesity is often associated with many serious medical conditions. Obesity, older age and gender are major contributing factors for knee replacement surgeries. We aimed to compare the mean duration of surgery in obese and non-obese patients undergoing total knee replacement.

METHODS

A Cross-sectional study is conducted at the orthopedic department at Shifa international hospital, Islamabad during June 2021-Dec 2021. Study is conducted to assess the effect of BMI on duration of total knee arthroplasty. Sample size was calculated to be 105 with 95% confidence limit. Data will be analyzed using SPSS version 22. Quantitative variables like age, BMI and duration of surgery were presented as mean and standard deviation. Qualitative variables like gender, laterality (unilateral/bilateral), and ASA were presented as frequency and percentage.

RESULTS

There were more females undergoing the procedure than males. The predominant age group was found to be 56-65 years. On BMI classification scale, a far greater number of individuals were found to be obese constituting more than ⅗ of the study population and almost ⅕ of the patients were overweight. The Association of BMI Classification & Duration of Surgery has a significant p value of 0.00.

CONCLUSION

A linear and direct relation was observed between body mass index and duration of surgery. There may be other contributing factors and will need more data and research.

摘要

引言

肥胖和体重指数(BMI)的增加已引起全球关注。因为肥胖常与许多严重的医疗状况相关。肥胖、高龄和性别是膝关节置换手术的主要促成因素。我们旨在比较接受全膝关节置换术的肥胖患者和非肥胖患者的平均手术时长。

方法

于2021年6月至2021年12月在伊斯兰堡的希法国际医院骨科进行了一项横断面研究。该研究旨在评估BMI对全膝关节置换术时长的影响。计算得出样本量为105,置信限为95%。将使用SPSS 22版对数据进行分析。年龄、BMI和手术时长等定量变量以均值和标准差表示。性别、手术部位(单侧/双侧)和美国麻醉医师协会(ASA)分级等定性变量以频率和百分比表示。

结果

接受该手术的女性多于男性。发现主要年龄组为56 - 65岁。在BMI分类量表上,发现肥胖个体的数量远多于超重个体,肥胖个体占研究人群的五分之三以上,超重患者约占五分之一。BMI分类与手术时长之间的关联具有显著的p值0.00。

结论

观察到体重指数与手术时长之间存在线性直接关系。可能还有其他促成因素,这将需要更多数据和研究。

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