Department of Healthcare Administration, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan, R.O.C.
Executive Master Program of Healthcare Administration, I-Shou University, Kaohsiung, Taiwan, R.O.C.
Sci Rep. 2024 May 28;14(1):12255. doi: 10.1038/s41598-024-63099-4.
The global obesity problem is becoming increasingly serious, with eight of the top ten causes of death in Taiwan in 2020 being related to obesity. Morbid obesity poses a significant threat to one's health and well-being. In recent years, bariatric surgery has emerged as a more effective treatment option for patients with morbid obesity. However, the procedure is not without risks. This study aims to examine the factors that impact the postoperative efficacy evaluation of patients with morbid obesity. This study uses a retrospective cross-sectional design, with medical records being collected retrospectively. The data was collected from patients who underwent bariatric surgery between July 1, 2017 and June 30, 2020 at a hospital in southern Taiwan. A total of 663 patients were included in the study and were observed for 1 year after the surgery. The independent variables included demographic variables, perceived symptoms variables, perceived lifestyle variables, and surgery-related variables, while the dependent variables included weight loss outcomes and complications. The prognostic factors affecting the postoperative efficacy evaluation of patients with pathological obesity were determined using multiple regression analysis and binary regression analysis. The study found that 65.6% of the participants were female, with an average age of 36.8 years. The results of the multiple regression and binary logistic regression showed that gender, age, BMI, diabetes, and smoking habit were the predictors of postoperative weight loss. Hypertension, diabetes, liver disease, kidney disease, smoking habit, drinking habit, and operation time were the predictors of postoperative complications. The study found that the presence of the aforementioned 12 significant factors can affect the success of weight loss after surgery and the incidence of postoperative complications. This information can serve as a reference for clinical care institutions and patients to improve the postoperative efficacy evaluation.
全球肥胖问题日益严重，2020 年台湾地区十大死因中有八项与肥胖有关。病态肥胖对健康和幸福构成重大威胁。近年来，减重手术已成为病态肥胖患者更有效的治疗选择。然而，该手术并非没有风险。本研究旨在探讨影响病态肥胖患者术后疗效评估的因素。本研究采用回顾性横断面设计，回顾性收集病历。数据来自 2017 年 7 月 1 日至 2020 年 6 月 30 日在台湾南部一家医院接受减重手术的患者。共有 663 名患者纳入本研究，并在手术后观察 1 年。独立变量包括人口统计学变量、感知症状变量、感知生活方式变量和手术相关变量，而依赖变量包括体重减轻结果和并发症。使用多元回归分析和二项逻辑回归分析确定影响病态肥胖患者术后疗效评估的预后因素。研究发现，65.6%的参与者为女性，平均年龄为 36.8 岁。多元回归和二项逻辑回归的结果表明，性别、年龄、BMI、糖尿病和吸烟习惯是术后体重减轻的预测因素。高血压、糖尿病、肝病、肾病、吸烟习惯、饮酒习惯和手术时间是术后并发症的预测因素。研究发现，上述 12 个重要因素的存在会影响术后减肥的成功率和术后并发症的发生率。这些信息可以为临床护理机构和患者提供参考，以提高术后疗效评估。
