在全膝关节整形术后与术后发相关的因素以及预测模型的开发和验证
1Ya'an Hospital of Traditional Chinese Medicine, Ya'an, China.
Medicine
|September 9, 2025
概括
在全膝关节整形术后的术后发是常见的. 关键的危险因素包括年龄较大,手术室温度低,大量的液体,疼痛的使用和长时间的麻醉.
科学领域:
- 麻醉学 麻醉学
- 整形外科手术 整形外科手术
- 临床风险预测预测
背景情况:
- 手术后是麻醉后的常见并发症,影响患者的康复和安全.
- 确定手术后发的危险因素对于制定有效的预防策略和改善患者的治疗结果至关重要.
研究的目的:
- 调查与全膝关节整形术 (TKA) 后术后发相关的风险因素.
- 开发和验证TKA后术后的预测模型和名谱.
主要方法:
- 对接受TKA的685名患者进行了回顾性审查.
- 后勤回归分析以确定独立的风险因素.
- 使用ROC曲线,Hosmer-Lemeshow测试,Bootstrap和交叉验证进行诺米克图构造和验证.
主要成果:
- 手术后发的发生率为20.88% (143/685名患者).
- 确定的危险因素:年龄>65岁,OR温度≤21°C,手术内液体>1500毫升,疼痛使用,麻醉持续时间>150分钟.
- 预测模型表现出良好的区分能力,稳定性和临床适用性.
结论:
- 在TKA之后的术后受多种可识别因素的影响.
- 开发的诺米图为预测高风险患者提供了可靠的工具,使早期干预和改善临床管理成为可能.
相关概念视频
01:28Factors Affecting Body Temperature
8.6K
As a nurse, it is vital to understand the factors affecting body temperature to monitor variations and effectively evaluate deviations from regular.
Factors may include:
Factors may include:
8.6K
01:14Assessing Body Temperature - Axilla
1.2K
Procedural Guide for Assessing Axillary Body Temperature using a Digital Thermometer:
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
1.2K
01:23Peripheral Artery Disease V: Postoperative Nursing Management
379
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
379
01:29Decreased Body Temperature
1.0K
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...
1.0K
01:19Assessing Body Temperature - Temporal Artery
1.1K
Here is a stepwise guide to assessing the body temperature at the temporal artery using a temporal artery thermometer
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's...
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's...
1.1K