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Intens Care Med:40万ICU患者的发现:高个比矮个命长

2018-12-29 卢芳 中国循环杂志

也许一个人的身高也是一种潜在的生命信息,比如曾有研究显示个儿高的人癌症风险高。

也许一个人的身高也是一种潜在的生命信息,比如曾有研究显示个儿高的人癌症风险高。

不过,近日一项纳入40万重症监护患者的研究则显示,个儿最矮的(1.37米)比个儿最高的(1.98米)在治疗中更可能死亡。
 
研究显示,在高个儿患者组中,院内死亡风险在男性为21%,在女性为17%;而矮个儿组中,男性为29%,女性为24%。
 
而且,即使考虑了其他因素,身高还是与死亡率间存在较强相关性。此外,身高还是预测患者出院的因素。
 
不过,研究者指出,这只是种发现的现象,而非因果关系。
 
为什么矮个儿会“倒霉”?
 
研究者表示,治疗中所用的设施和导管通常是一个尺寸,但对所有高矮胖瘦之人并非普遍适用。这或许是其中原因之一。
 
研究者指出,在治疗患者时,身高体重都是值得考虑的问题。
 
该研究共纳入了2009~2015年英国210个ICU的数据,其中包括233000位男性和184000位女性。

原始出处:Emily A. Vail, David A. Harrison, Hannah Wunsch. Relationship between height and outcomes among critically ill adults: a cohort study. Intens Care Med, Dec, 23, 2018.

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