PDF(Pubmed)
Abstract：
This was an observational study of patients with benign breast tumors intended to investigate and compare the predictive value of body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR) for hypertension in the recovery room. Logistic regression analysis was used to determine the association between these body fat anthropometric indices and hypertension. Receiver operating characteristic curve (ROC) analysis was performed to assess the comparative predictive ability. A total of 689 women were evaluated. Patients with BMI ≥28 (kg/m2), WC > 85 cm, WHR ≥0.82, and WHtR ≥0.5 had a significantly higher probability of increased systolic blood pressure (SBP) and diastolic blood pressure (DBP) than patients with less than threshold values (all P < 0.05). The areas under the ROC curve (AUC) of BMI, WC, and WHtR where all modestly significant (all AUC ≥0.65) and nearly identical at 0.6592, 0.65, and 0.6724, respectively. Conclusion: body fat anthropometric indices are useful predicting hypertension during recovery from general anesthesia in patients with benign breast tumors undergoing day surgery; WHtR outperformed the other indices and nearly identical.
摘要：
这是一项针对良性乳腺肿瘤患者的观察性研究，旨在调查和比较体重指数（BMI）的预测价值。腰围（WC），腰臀比（WHR），和腰围身高比（WHtR）在恢复室高血压。使用Logistic回归分析确定这些体脂人体测量指标与高血压之间的关联。进行受试者工作特征曲线（ROC）分析以评估比较预测能力。总共对689名妇女进行了评估。BMI≥28（kg/m2）的患者，WC>85厘米，WHR≥0.82和WHtR≥0.5的患者收缩压(SBP)和舒张压(DBP)升高的概率明显高于低于阈值的患者(均P<0.05)。BMI的ROC曲线下面积(AUC),WC,和WHtR，均具有中等显著性（所有AUC≥0.65），并且分别在0.6592、0.65和0.6724处几乎相同。结论：体脂人体测量指标可用于预测接受日间手术的良性乳腺肿瘤患者全身麻醉恢复期间的高血压；WHtR优于其他指标，几乎相同。
