武警医学2024，Vol.35Issue(5)：389-394,6.
老年患者麻醉手术中压力性损伤发生情况调查及其预测模型的建立
Investigation of the occurrence of pressure ulcer during anesthetic surgery in elderly pa-tients and establishment of prediction model
摘要
Abstract
Objective To investigate the occurrence of pressure ulcer in elderly patients during anesthetic surgery,and to es-tablish a nomogram model to predict the risk and conduct internal verification.Methods A total of 327 elderly patients who underwent anesthetic surgery in Nanchong Central Hospital from February 2018 to August 2020 were selected for retrospective analysis.The factors that might cause pressure ulcer during anesthetic surgery were collected,and the patients were divided into two groups according to whether or not there was pressure ulcer.The differences were compared,and the influencing factors of pressure ulcer were analyzed by multi-factor Logistic regression,and a nomogram prediction model was established for internal verification.Results The skin condition of 327 cases was observed.During the observation period,41 cases(12.53%)suffered from pressure ulcer.Nine potential influencing factors were screened by LASSO regression model,and multi-factor Logistic regression analysis showed that age,body mass index(BMI),smoking history,special posture during operation,changing posture during operation,operation time,temperature during op-eration,and albumin level were the independent influencing factors for the occurrence of pressure ulcer during anesthetic surgery in eld-erly patients(P<0.05).The ROC curve showed that the AUC of the model predicting pressure ulcer during anesthesia in elderly pa-tients was 0.926(95%CI:0.888 to 0.965);the results of the calibration curve and the H-L goodness-of-fit test showed that the difference between the probability predicted by the model of the column and the actual probability of the line graph was not statistically significant(P>0.05).Conclusions The incidence of pressure ulcer during anesthesia surgery in elderly patients is relatively high,which is mainly affected by the patient's age,BMI,smoking history and other factors.The nomograph model established according to the above factors is characterized by high accuracy and differentiation in predicting the occurrence of pressure ulcer during anesthesia surgery.关键词
老年/术中/压力性损伤/多因素分析/列线图模型Key words
aged/intraoperative/pressure ulcer/multi-factor analysis/nomogram model分类
医药卫生引用本文复制引用
宋慧敏,杨玉玲,牟利,康妮,李林佶..老年患者麻醉手术中压力性损伤发生情况调查及其预测模型的建立[J].武警医学,2024,35(5):389-394,6.基金项目
四川省基层卫生事业发展研究中心资助项目(SWFZ22-Y-19) （SWFZ22-Y-19）
四川省卫健委科研课题(20PJ298) （20PJ298）
