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心脏门手术后长期机械通风的危险因素和临床预测模型
Heng Yang1,2, Leilei Kong2, Wangqi Lan1,2
1Department of Cardiovascular Surgery, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, China.
BMC cardiovascular disorders
|May 14, 2024
概括
门手术后长时间的机械通风 (PMV) 与糟糕的结果有关. 关键的风险因素包括年龄,吸烟,左心房大小,红细胞计数和大动脉紧时间,有助于风险预测.
科学领域:
- 心血管外科心血管外科
- 胸部外科手术 胸部外科手术
- 关键护理医学 关键护理医学
背景情况:
- 长期机械通风 (PMV) 是心脏手术后的严重并发症,与患者不良预后和死亡率增加有关.
- 识别导致PMV的因素对于改善门手术后患者的治疗结果至关重要.
研究的目的:
- 确定与门手术后PMV发生相关的独立风险因素.
- 在这个患者群体中开发PMV的临床风险预测模型.
主要方法:
- 分析了一组550名接受门手术的患者.
- 采集和分析了手术前和手术内临床数据,使用单变量和多变量逻辑回归.
- 基于已识别的风险因素,开发了一种临床名录.
主要成果:
- 在PMV的发病率是11.27% (62名患者).
- PMV的独立风险因素包括年龄较大,目前的吸烟状况,左心脏直径指数增加,红细胞数量较低,以及较长的大动脉紧时间.
- 开发的诺米图表表现出良好的预测性能,AUC为0.782.2.
结论:
- 年龄,目前的吸烟,左心脏直径指数,红细胞计数和大动脉紧时间是PMV后门手术的重要独立风险因素.
- 开发的诺米图显示了在接受门手术的患者中预测PMV风险的潜力.
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