Article ; Online: Risk factors and predictive model for pulmonary complications in patients transferred to ICU after hepatectomy.
2023 Volume 23, Issue 1, Page(s) 150
Abstract: Objective: Postoperative pulmonary complications (PPCs) seriously harm the recovery and prognosis of patients undergoing surgery. However, its related risk factors in critical patients after hepatectomy have been rarely reported. This study aimed at ... ...
Abstract | Objective: Postoperative pulmonary complications (PPCs) seriously harm the recovery and prognosis of patients undergoing surgery. However, its related risk factors in critical patients after hepatectomy have been rarely reported. This study aimed at analyzing the factors related to PPCs in critical adult patients after hepatectomy and create a nomogram for prediction of the PPCs. Methods: 503 patients' data were collected form the Peking University People's Hospital. Multivariate logistic regression analysis was used to identify independent risk factors to derive the nomogram. Nomogram's discriminatory ability was assessed using the area under the receiver operating characteristic curve (AUC), and calibration was assessed using the Hosmer-Lemeshow goodness-of-fit test and calibration curve. Results: The independent risk factor for PPCs are advanced age (odds ratio [OR] = 1.026; P = 0.008), higher body mass index (OR = 1.139; P < 0.001), lower preoperative serum albumin level (OR = 0.961; P = 0.037), and intensive care unit first day infusion volume (OR = 1.152; P = 0.040). And based on this, we created a nomogram to predict the occurrence of PPCs. Upon assessing the nomogram's predictive ability, the AUC for the model was 0.713( 95% CI: 0.668-0.758, P<0.001). The Hosmer-Lemeshow test (P = 0.590) and calibration curve showed good calibration for the prediction of PPCs. Conclusions: The prevalence and mortality of postoperative pulmonary complications in critical adult patients after hepatectomy are high. Advanced age, higher body mass index, lower preoperative serum albumin and intensive care unit first day infusion volume were found to be significantly associated with PPCs. And we created a nomogram model which can be used to predict the occurrence of PPCs. |
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MeSH term(s) | Adult ; Humans ; Hepatectomy/adverse effects ; Risk Factors ; Prognosis ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Intensive Care Units ; Serum Albumin ; Retrospective Studies |
Chemical Substances | Serum Albumin |
Language | English |
Publishing date | 2023-06-03 |
Publishing country | England |
Document type | Journal Article |
ZDB-ID | 2050442-1 |
ISSN | 1471-2482 ; 1471-2482 |
ISSN (online) | 1471-2482 |
ISSN | 1471-2482 |
DOI | 10.1186/s12893-023-02019-1 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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