Risk factors for hypoxemia in patients recovering from anesthesia after robot-assisted laparoscopic radical prostatectomy
Objective:To investigate the risk factors to hypoxemia in patients recovering from anesthesia after robot-assisted laparoscopic radical prostatectomy(RARP).Methods:88 patients who underwent RARP in the first Hospital with Nanjing Medical University from July 2023 to December 2023 were selected,they were divided into the hypoxemia-occurrence group(n=31)and the nonoccurrence group(n=57)according to whether hypoxemia occurred or not after entering the post-anesthesia care unit(PACU).General data,conditions and surgical data of patients in the two groups were collected and compared.Univariate and multivariate Logistic regression analyses were performed to analyze risk factors of hypoxemia in patients after RARP.Results:By analyzing general data of the two groups of patients who underwent RARP,it was found that there were significant differences in age,surgical time,preoperative neoadjuvant therapy,intraoperative blood transfusion,and postoperative body temperature between the two groups(P<0.05).Univariate Logistic regression analysis showed that age,preoperative neoadjuvant therapy,operative time,intraoperative blood transfusion,and postoperative body temperature were all influencing factors to the occurrence of hypoxemia in patients recovering from anesthesia after RARP(P<0.05).Multivariate Logistic regression analysis showed that intraoperative blood transfusion and postoperative body temperature<36℃were independent risk factors for hypoxemia in patients recovering from anesthesia after RARP(P<0.05).The joint prediction of the above two independent risk factors for the occurrence of hypoxemia in patients underwent RARP during recovery from anesthesia has an area under the curve of 0.697,a standard error of 0.063,a confidence interval of 0.574 to 0.821,a specificity of 0.912,a sensitivity of 0.584,which had certain reference value(P<0.05).Conclusion:Intraoperative blood transfusion and postoperative temperature<36℃are independent risk factors for the occurrence of hypoxemia during recovery from anesthesia in patients who underwent RARP.
ProstatectomyRobot-assisted Laparoscopic SurgeryRecovery Period from AnesthesiaHypoxemiaRisk Factor
万方数据
维普
