Application Value of IPS Combined with Monocyte Count,Procalcitonin and C-reactive Protein in Early Evaluation of Postoperative Infection in Patients with Spinal Trauma
Objective:To analyze the application value of infection probability score(IPS)combined with monocyte count,procalcitonin(PCT)and C-reactive protein(CRP)in the early evaluation of postoperative infection in patients with spinal trauma.Methods:A total of 31 patients with infection and 31 patients without infection after spinal trauma surgery in the hospital were enrolled as infection group and non-infection group between March 2016 and October 2023,respectively.The changes of IPS,monocyte count,PCT and CRP in the two groups were compared.The correlation among IPS,monocyte count,PCT and CRP was analyzed by Spearman correlation analysis.The evaluation value of IPS,monocyte count,PCT,CRP and combined detection for postoperative infection in patients with spinal trauma was analyzed by receiver operating characteristic(ROC)curves.Results:IPS,monocyte count,PCT and CRP levels in infection group were significantly higher than those in non-infection group(P＜0.05).The results of Spearman correlation analysis showed that IPS was positively correlated with monocyte count,PCT and CRP levels(r=0.268,0.697,0.437,P＜0.05).The results of ROC curves analysis showed that AUCROC of IPS combined with monocyte count,PCT and CRP for predicting postoperative infection was 0.891,greater than that of single index(0.781,0.683,0.752,0.708).Conclusion:Combined detection of the four indexes can improve predictive value of postoperative infection in patients with spinal trauma.
Spinal traumaPostoperative infectionInfection possibility scoreMonocyte countProcalcitoninC-reactive protein
NETL
NSTL
万方数据
