构建PICC相关的静脉血栓形成的诺米克风险预测模型及其应用
Lili Chen1, Yanyan Lu2, Lei Wang3
1Department of Traditional Chinese Medicine, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Zhejiang, China.
Asian journal of surgery
|June 11, 2023
概括
这项研究确定了与外围插入的中央导管 (PICC) 相关的静脉血栓形成的关键风险因素,包括导管尖位置和血D-二次数水平. 开发了一个名图模型来预测PICC线患者的血栓形成风险.
科学领域:
- 血管医学 血管医学
- 医疗器械 医疗器械
- 在瘤学瘤学.
背景情况:
- 周边插入的中央导管 (PICC) 广泛使用,但与静脉血栓形成有关.
- 识别风险因素和开发预测模型对于患者安全至关重要.
研究的目的:
- 确定与PICC相关的静脉血栓形成的独立风险因素.
- 构建和验证PICC相关的静脉血栓形成的诺米克风险预测模型.
主要方法:
- 来自401名接受PICC导管治疗的患者的临床数据的回顾性分析.
- 后勤回归分析以确定独立的风险因素.
- 使用接收器操作特征 (ROC) 曲线分析开发和内部验证一个名ogram.
主要成果:
- 鉴定了导管尖位置,血D二次数升高,静脉压缩,血栓形成史,以及之前的PICC/中央静脉导管 (CVC) 使用作为显著的风险因素.
- 构造的名图表显示出良好的预测效果,曲线下的面积 (AUC) 为0.876.6.
- 该模型显示了统计学上显著的预测差异 (P < 0.01).
结论:
- 导管尖端的位置,血D-二次数的升高,静脉压缩,血栓形成史和先前的PICC/CVC导管是PICC相关的静脉血栓形成的独立危险因素.
- 一个经过验证的诺莫格拉姆模型有效地预测了与PICC相关的静脉血栓形成的风险.
- 这种工具可以帮助临床风险评估和PICC患者的管理.
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