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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >The Obesity Paradox in Stroke: Impact on Mortality and Short-term Readmission
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The Obesity Paradox in Stroke: Impact on Mortality and Short-term Readmission

机译：中风的肥胖悖论：对死亡率和短期再入院的影响

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Background: The aim of the present study was to assess the association of obesity with the mortality of hospitalized patients with acute stroke and the risk of readmission in less than 30 days. Methods: Aretrospective chart review of a cohort of consecutive patients admitted with stroke as the primary reason for discharge in Spain between January 1, 2005, and December 31, 2011, was performed. Patients with a diagnosis of obesity were identified. The mortality and readmittance indexes of obese patients were compared against the subpopulation without theses diagnosis. Results: A total of 201,272 stroke admittances were analyzed, and 14,047 (7.0%) diagnosis of obesity were identified. In-hospital global mortality reached 14.9%, and readmittance risk was 5.9%. Obese patients showed a lower in-hospital mortality risk (odds ratio [OR],.71; 95% confidence interval [CI],.67-.76) and early readmittance risk (OR,.89; 95% CI,.82-.96) than the nonobese even after adjusting for possible confounding factors. Conclusions: Obesity in those hospitalized for stroke is associated with reduced in-hospital mortality risk and early readmittance.
机译：背景：本研究的目的是评估肥胖与住院急性卒中患者的死亡率以及在不到30天的再入院风险之间的关系。方法：对2005年1月1日至2011年12月31日在西班牙连续出院的卒中为主要出院原因的队列研究进行回顾性图表回顾。确定患有肥胖症的患者。将肥胖患者的死亡率和再入院指数与没有这些诊断的亚人群进行比较。结果：共分析了201,272次卒中准入，并鉴定出14047（7.0％）个肥胖诊断。院内全球死亡率达到14.9％，再次入院风险为5.9％。肥胖患者的院内死亡风险较低（几率[OR] ,. 71; 95％置信区间[CI] ,. 67-.76）和早期再入院风险（OR，.89; 95％CI，.82） -.96），即使在针对可能的混杂因素进行调整之后，也比不肥胖。结论：住院卒中患者的肥胖与降低院内死亡率风险和早入院有关。

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