Analysis of risk factors and predictive efficacy of infection after open hand trauma
Objective To investigate the risk factors and predictive efficacy of infection after open hand trauma.Methods 106 patients with open hand trauma surgery in our hospital from June 2020 to June 2023 were retrospectively included and divided into different groups according to with or without postoperative infection.The clinical characteristics of the infected group and the non-infected group were compared,and the inde-pendent risk factors of postoperative infection after open hand trauma were evaluated by multivariate analysis of Logistics regression model.ROC curves were drawn to analyze the clinical efficacy of these independent risk factors in predicting of infection risk after open hand trauma.Results There were 13 cases with postoperative infection in all 106 patients with open hand trauma underwent surgery in our hospital for incidence of 12.26％.Univariate analysis showed that age,smoking,diabetes mellitus,surgical wound contamination,time from injury to operation,ASA score,time of oper-ation and whether negative pressure drainage was performed were all related to postoperative infection after open hand trauma(P＜0.05).Multivariate analysis of Logistic regression model showed that age ≥60 years,diabetes mellitus,time from injury to operation ≥6 h,surgical wound contamination and no negative pressure drainage were all independent risk factors for postoperative infection after open hand trauma(P＜0.05).ROC curve analysis re-sults showed that age,whether diabetes was complicated,time from injury to surgery,whether surgical wound was contaminated and whether negative pressure drainage was performed could be used to predict the risk of postoperative infection after open hand trauma,and the combined prediction effi-ciency of the above indexes was significantly better than single index(P＜0.05).Conclusion The incidence of postoperative infection after open hand trauma was closely related to age,diabetes,time from injury to operation,surgical wound contamination and negative pressure drainage and the combi-nation of these indicators showed better clinical efficacy in predicting of infection after open hand trauma surgery risk.
Open traumaHand traumaOperationInfectedRisk factorsForecast
NETL
NSTL
万方数据
