Shen Yang, Huang Peipei, Zhu Qin, Niu Shoujun, Hu Jia, Qin Wen, Dai Xiaoyun, Luo Jun
Department of Anesthesiology, Affiliated Hospital of Nantong University, Nantong, China.
Int J Med Robot. 2024 Dec;20(6):e70016. doi: 10.1002/rcs.70016.
Most patients present at high risk of perioperative pressure injury. Patients may experience severe agony from pressure injuries, which can also result in potentially fatal infections and increase hospital stays and medical expenses. This is a critical issue that requires immediate attention and resolution.
From December 2019 to August 2023, 335 patients receiving Da vinci surgery in a grade A tertiary hospital were chosen to serve as the participants, and univariate analysis and patients undergoing Da vinci surgery had their risk factors for pressure injuries screened using logistic regression analysis, and in patients having Da vinci surgery, a pressure injury risk prediction model was developed.
Among 335 patients, 195 patients acquired pressure injuries, and the results of logistic regression analysis showed that age, length of surgery, BMI, and nasogastric tube (NGT) were independent risk factors for pressure injuries (p < 0.05).
With great risk prediction ability, the risk prediction model for pressure injuries in patients undergoing Da vinci surgery established in this study can be used as an effective assessment tool.
大多数患者在围手术期存在发生压力性损伤的高风险。患者可能会因压力性损伤而遭受剧烈疼痛，这还可能导致潜在的致命感染，并增加住院时间和医疗费用。这是一个需要立即关注和解决的关键问题。
选取2019年12月至2023年8月在某三甲A级医院接受达芬奇手术的335例患者作为研究对象，采用单因素分析，并通过逻辑回归分析筛选接受达芬奇手术患者发生压力性损伤的危险因素，进而建立接受达芬奇手术患者的压力性损伤风险预测模型。
335例患者中，195例发生了压力性损伤，逻辑回归分析结果显示，年龄、手术时长、体重指数和鼻胃管是压力性损伤的独立危险因素（p < 0.05）。
本研究建立的达芬奇手术患者压力性损伤风险预测模型具有较强的风险预测能力，可作为一种有效的评估工具。
