对患有骨骨折的老年患者手术后肺部感染的风险因素分析和名录构造
Jingbiao Huang1, Heng'an Ge1, Xiaoping Zhu2
1Department of Sports Medicine, School of Medicine, Tongji Hospital, Tongji University, Shanghai, 200092, China.
Aging clinical and experimental research
|June 26, 2023
概括
这项研究开发了一种名图,用于预测老年关节骨折患者手术后肺部感染. 它确定了关键的风险因素,有助于早期干预和改善患者的治疗结果.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 传染病流行病学 传染病流行病学
背景情况:
- 患有关节骨折的老年患者面临高风险的术后肺部感染.
- 准确预测这些感染对于及时干预和改善患者管理至关重要.
研究的目的:
- 开发和验证一个精确的风险预测模型,用于术后肺部感染的老年患者与部骨折.
- 为了确定独立的风险因素,有助于手术后的肺部感染在这个脆弱的人群.
主要方法:
- 对1008名老年关节骨折患者的临床数据进行了回顾性分析.
- 多变量回归分析以确定独立的风险因素.
- 使用ROC曲线和Hosmer-Lemeshow测试开发和验证基于名录的风险预测模型.
主要成果:
- 确定了独立的危险因素:年龄大于73岁,手术延迟 (>4天),吸烟,ASA≥III,慢性肺炎,低蛋白血症,增加的RDW (>14.8%),长时间的机械通风 (>180分钟) 和重症监护室停留.
- 开发的模型在验证组中表现出强大的预测性能,AUC为0.891和0.881.
- 霍斯默-莱梅肖测试证实了模型的良好匹配 (P > 0.05).
结论:
- 在老年关节骨折患者中确定了术后肺部感染的几种独立风险因素.
- 开发的诺米图是预测术后肺部感染的有效工具,有助于临床决策.
相关概念视频
Pneumonia III: Complications and Assessment
278
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
278
Pneumonia I: Introduction
284
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
284
Factors Affecting the Risk of Infection
12.0K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
12.0K
Pneumonia V: Nursing management and Prevention
2.2K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.2K
Pneumonia IV: Management
388
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
388
Pulmonary Embolism III: Nursing Management
16
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
16


