在腰部减压后术后尿的发生率和预测
Cole Kwas1, Eric Kim1, Joshua Zhang1
1Hospital for Special Surgery, New York, NY.
概括
手术后尿 (POUR) 在腰部减压后发生在6.9%的患者中. 开发了一个预测模型来识别患有POUR高风险的患者,帮助临床决策.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 神经外科 神经外科
- 麻醉学 麻醉学
背景情况:
- 手术后的尿 (POUR) 是脊椎手术后的常见并发症.
- 贫困会导致长时间住院,感染,疼痛和增加发病率.
研究的目的:
- 为了确定经历腰部减压的患者中POUR的发生率.
- 开发一个预测模型,用于在手术前识别患有POUR高风险的患者.
主要方法:
- 对接受初级腰部减压的1938名患者 (2017-2023) 的回顾性审查.
- 收集的人口统计,并发症和外科手术期间的数据.
- 利用多变量逻辑回归来识别独立预测因素并构建一个预测性名ogram.
主要成果:
- POUR的发生率为6.9% (133/1,938名患者).
- 确定的危险因素包括:先前的尿,非商业保险,手术内使用福利导管,高入院阿片类药物消费和抗胆固醇药物的使用.
- 手术前预测模型显示出良好的区别 (AUC 0.725培训,0.709验证).
结论:
- 腰部减压后POUR发生率为6.9%.
- 几个外科手术期间的因素显著增加了POUR风险.
- 经过验证的手术前模型可以帮助临床医生识别有针对性的干预措施的风险患者.
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