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在脚骨折中构建和验证手术后切口感染的诺莫格拉姆预测模型

Guang-Hua Deng¹

¹Ya'an Hospital of Traditional Chinese Medicine, Xi'an City, Shaanxi Province, China.

|December 5, 2023

概括

老年,糖尿病,开口骨折,低白蛋白和较长的手术时间增加了脚骨折后手术部位感染的风险. 一种新的名录模型有助于早期识别高风险患者.

科学领域:

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
临床预测建模临床预测建模

背景情况:

手术后的切口感染是足骨折手术后的一个重要并发症.
识别独立的风险因素对于制定有效的预防策略至关重要.

研究的目的:

为了确定骨骨折中术后切口感染的独立风险因素.
为这些感染开发和验证名录预测模型.

主要方法:

对722名脚骨折患者 (2018年1月 - 2022年12月) 的回顾性分析.
单变量和多变量逻辑回归分析以确定风险因素.
使用ROC曲线,校准曲线和决策曲线分析构建和验证nomogram.

主要成果:

手术后切口感染的发生率为10.53% (76/722名患者).
确定了独立的风险因素:年龄≥60岁,糖尿病,开口骨折,白蛋白<35g/L,手术时间≥2小时.
开发的诺米图表显示出良好的预测准确性.

结论:

年龄,糖尿病,开放性骨折,低albuminemia和长时间的手术时间是骨骨折手术后切口感染的关键预测因素.
诺米图为骨科外科医生提供了一种有价值的工具,以识别高风险患者进行早期干预.

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