首页|老年髋关节置换患者术中低温风险预测模型的构建

老年髋关节置换患者术中低温风险预测模型的构建

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目的:构建老年髋关节置换术(THA)术中低体温风险预测模型.方法:纳入2019 年1 月至2022 年5月行髋关节置换手术的252 例老年患者的资料,分析发生低温的危险因素,构建列线图预测模型及验证该模型的临床适用性.结果:Logistic回归分析显示,麻醉时间、手术时间、手术室温度、术中输液、手术出血是老年THA术中低体温的独立影响因素(P<0.05).列线图预测模型的AUC为 0.888(95%CI:0.849~0.928),一致性结果与理想的预测能力较为接近,临床决策曲线显示阈值在0.15~0.95 时,临床可获益.结论:本研究构建的模型能够准确预测老年髋关节置换患者术中低体温,可为临床决策提供参考.
Construction of intraoperative hypothermia risk prediction model for elderly total hip arthroplasty patients
Objective:A hypothermia risk prediction model in elderly total hip arthroplasty(THA)was constructed.Methods:The data of 252 elderly patients who underwent hip replacement surgery from January 2019 to May 2022 were included,and the risk factors for hypothermia were analyzed,and a nomogram prediction model was constructed and validated.Results:Logistic regression analysis showed that anesthesia time,operation time,operating room ambient temperature,intraoperative infusion,and surgical bleeding were independent influencing factors of intraoperative hypothermia in elderly people with THA(P<0.05).The AUC of the nomogram prediction model is 0.888(95%CI:0.849~0.928),and the consistency results are close to the ideal predictive ability,and the clinical decision curve shows that the threshold is 0.15~0.95,which can benefit clinically.Conclusion:The model constructed in this study can accurately predict intraoperative hypothermia in elderly patients with total hip arthroplasty,which can provide reference for clinical decision-making.

elderly total hip arthroplastyhypothermiapredictionmodel

朱梦真、张虹、杨萌

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河南省洛阳正骨医院(河南省骨科医院),河南 洛阳 471002

老年髋关节置换手术 低体温 预测 模型

中原医创基金会医院管理研究项目(2023)

3YCG1012

2024

暨南大学学报(自然科学与医学版)
暨南大学

暨南大学学报(自然科学与医学版)

CSTPCD北大核心
影响因子:0.996
ISSN:1000-9965
年,卷(期):2024.45(2)