修订后的风险分析指数预测腹部手术的老年患者的术后妄想:一个前性观察队列研究
Aim:
探讨修订版风险分析指数(RAI-rev)与老年患者择期腹部手术后谵妄(POD)之间的关联。
方法:
2024年3月至2024年8月期间,年龄在65岁及以上的拟行择期腹部手术的患者被纳入研究。采用单因素和多因素逻辑回归分析探讨POD与RAI-rev评分之间的关系。随后,我们应用倾向性评分匹配(PSM)分析以减少协变量可能带来的偏倚。
结果:
我们前瞻性地纳入了163例连续患者。通过多变量回归分析确定的独立危险因素包括RAI-rev、营养风险筛查2002(NRS 2002)和甘油三酯。RAI-rev的曲线下面积最大,为0.790。同时,在倾向性评分匹配(PSM)后,RAI-rev仍具有预测价值。
结论:
RAI-rev、NRS 2002 和甘油三酯与老年腹部手术患者术后谵妄(POD)的发生独立相关。其中,RAI-rev 被证实为预测 POD 发生率更有效的指标。
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