Construction and verification of hypoxemia prediction model for gynecological operation patients after entering postanesthesia care unit
Journal Title: Chinese Journal of Clinical Research - Year 2024, Vol 37, Issue 12
Abstract
Objective To establish and verify the prediction model of hypoxemia in gynecological surgery patients after entering postanesthesia care unit (PACU). Methods Ninety patients who underwent gynecological surgery in Urumqi Hospital of Traditiond Chinese Medicine from June 2019 to June 2023 were selected as the study objects. According to the observation results of the PACU, the patients were divided into the hypoxemia group and the non-hypoxemia group. Clinical data of patients were collected and analyzed by univariate and multivariate logistic regression, in order to screen out the risk factors affecting postoperative hypoxemia in gynecological surgery patients and build a prediction model and verify it. Results Gynecological operation patients admitted to the PACU after surgery, 71 patients did not experience hypoxemia, 19 patients (21.11%) did. Multivariate logistic regression analysis showed that elder age, high BMI, history of hypertension, ASA Ⅲ grade and laparoscopic surgery were the risk factors for postoperative hypoxemia in gynecological surgery patients after entering PACU (OR=2.406, 2.948, 1.931, 3.180, 1.772, P＜0.05). Multivariate logistic regression analysis was used to establish a risk early warning model for postoperative hypoxemia in gynecological operation patients after entering PACU. The internal verification results of Bootstrap method showed that the C-index was 0.797 (95%CI: 0.752-0.874), the area under receiver operating characteristic (ROC) curve, sensitivity and specificity were 0.825, 80.97% and 82.43%, respectively. Conclusion Age, BMI, history of hypertension, ASA grade and surgical method are all influencing factors for postoperative hypoxemia in gynecological surgery patients. The prediction model based on the above factors has a certain degree of differentiation and accuracy.
Authors and Affiliations
HUANG Yiyong, LI Jing, LI Min
Keywords
Related Articles
- EP ID EP753809
- DOI 10.13429/j.cnki.cjcr.2024.12.013
- Views 26
- Downloads 0
Relationship between gut microbiota and hepatocellular carcinoma through two-sample Mendelian randomization study
Objective To investigate the potential association between 221 types of gut microbiota and hepatocellular carcinoma (HCC) using a two-sample Mendelian randomization approach, providing insights for the prevention and tre...
Research progress on the pathogenesis and treatment of cervical spondylotic myelopathy
Cervical spondylotic myelopathy (CSM) is the most serious subtype of cervical spondylosis, which is the main cause of spinal cord dysfunction in middle-aged and elderly people, and the pathogenesis of this CSM is complex...
Research progress of lung cancer complicated with pulmonary embolism
Pulmonary embolism and deep venous thrombosis are collectively referred to as venous thromboembolism, while pulmonary embolism is generally caused by deep venous thrombosis, which has the characteristics of sudden and mo...
Construction and validation of a LASSO regression-based nomogram prediction model for active tuberculosis
Objective To develop and validate a nomogram prediction model for the early diagnosis of active pulmonary tuberculosis (ATB) based on LASSO regression. Methods A total of 403 patients with ATB admitted to the Third Peop...
Current status of research on the reduction of acute rejection after pancreatic islet transplantation in type 1 diabetes mellitus
Type 1 diabetes mellitus (T1DM) is primarily characterized by the selective destruction of pancreatic islet β cells by immune cells. Currently, suppressing the attack of the immune system or stimulating the regeneration...