在接受心血管外科手术的患者中预测手术相关压力的风险的一种名图
Xin Wei1, Xiaoqing Xu1, Yuan Chen1
1Department of Nursing, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
The Journal of international medical research
|February 29, 2024
概括
一个新的诺莫图谱得分预测了心血管手术患者的手术相关压力 (SRPU). 该工具有助于识别高风险个人进行有针对性的干预,旨在减少SRPU发生率.
科学领域:
- 心血管外科心血管外科
- 患者安全 患者安全
- 医学预测模型 医学预测模型
背景情况:
- 与手术相关的压力 (SRPU) 对接受心血管手术的患者构成重大风险.
- 需要有效的预测工具来识别有风险的个人,采取预防措施.
研究的目的:
- 开发和验证一个名谱得分,用于预测心血管外科手术患者SRPU的发生.
主要方法:
- 一项回顾性研究对1163名在2016年2月至2020年11月期间接受心血管手术的患者进行.
- 使用手术前的血红蛋白,血清,前蛋白,手术内平均温度,最低平均动脉压,手术前的血,吸烟频率,高血压史和年龄≥70岁,制定了后勤回归模型.
主要成果:
- 后勤回归模型确定了SRPU风险的关键预测因素.
- 开发的名图表在预测SRPU风险方面表现出很好的准确性,C指数为0.755 (95%CI:0.719-0.792).
结论:
- 已建立的诺米图谱得分有效地选心血管外科手术患者的SRPU高风险.
- 该工具有助于实施有针对性的护理干预措施,最终降低SRPU的发生率.
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