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在接受结直肠手术的老年患者中构建和验证术后低温预测模型

Yonghong Wang¹, Na Yang², Jiying Zhang¹

¹Department of Anesthesiology and Surgery, Capital Medical University Electric Power Teaching Hospital, No. 1 West Lane Tai Ping Bridge, Fengtai District, Beijing, 100073, China.

|July 8, 2024

概括

这项研究开发了一种预测模型,用于识别结直肠手术患者的术后低温症 (POH). 该模型准确预测POH风险,帮助临床实践改善患者的治疗结果.

科学领域:

麻醉学麻醉学
手术患者监测手术患者监测
预测分析在医疗保健中的应用

背景情况:

手术后低温 (POH) 是结直肠手术中经常出现的并发症.
POH可能导致患者不良后果和增加发病率.
识别患有POH风险的患者对于及时干预至关重要.

研究的目的:

开发和验证一种用于在结直肠外科手术患者中识别POH的预测模型.
在这个患者群体中确定与POH相关的关键风险因素.
加强临床决策和患者护理协议.

主要方法:

对1316名结直肠手术患者的回顾性分析.
收集的手术内核心温度和潜在的影响因素.
利用回归分析和ROC曲线分析用于模型开发和验证.

主要成果:

51.5%的患者经历了手术后体温下降.
关键预测因素包括性别,酒精消费,手术持续时间,血小板数和年龄.
开发的模型显示出高预测性能 (AUC=0.981).

结论:

在结直肠手术患者中成功开发了POH的验证预测模型.
该模型结合了各种患者和手术因素,以准确评估风险.
这些发现对于外科专业人员来说至关重要,以减轻POH风险.

关键词:

临床实践中的临床实践结肠直肠外科手术是什么意思手术后的低温症术后的低温症预测模型的预测模型.

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Decreased Body Temperature

Decreased Body Temperature

A decreased body temperature can occur in patients with hypothermia and frostbite. Heat loss with extended cold exposure overpowers the body's ability to create heat, resulting in hypothermia. Core temperature readings help classify hypothermia. Mild hypothermia is temperatures between 32 °C (89.6 °F) and 35°C (95 °F) and is caused by impaired thermoregulation. Moderate hypothermia is temperatures between 28 C (82.4 °F) and 32 °C (89.6 °F) caused by...