|
|
骨科老年患者手术风险评估系统预测312例患者的应用价值
|
Abstract:
目的：探讨渝康手术风险评估软件系统(版本V1.0)的预测价值。方法：应用渝康手术风险评估软件系统(版本V1.0)预测2013年1月至2018年6月我院收治的骨折住院老年患者624例的手术死亡率和并发症率，比较预测值与观察值的差异。结果：预测3例死亡，观察2例死亡，预测值与观察值基本符合，差异无统计学意义(P = 0.073)，该评分系统预测价值良好。结论：渝康手术风险评估软件系统(版本V1.0)评分系统基本准确评估了骨科老年患者术后并发症率及死亡率。
Objective: To explore the predictive value of Yukang surgical risk assessment software system (version V1.0). Methods: The operative mortality and complication rate of 624 elderly patients with fracture treated in our hospital from January 2013 to June 2018 were predicted by Yukang surgical risk assessment software system (version V1.0), and the differences between predicted and observed values were compared. Results: 3 deaths were predicted and 2 deaths were ob-served. The predicted values were basically consistent with the observed values, and the differ-ence was not statistically significant (P > 0.05). The predictive value of the scoring system was good. Conclusion: Yukang surgical risk assessment software system (version V1.0) can accu-rately evaluate the postoperative complication rate and mortality of elderly orthopedic patients.
| [1] | 中华人民共和国国家统计局. 第六次全国人口普查主要数据公报(第1号) [EB/OL].
http://www.stats.gov.cn/tjgb/rkpcgb/qgrkpcgb/t20110428_402722232.htm |
| [2] | 兰秀夫, 王爱民, 孙红振, 等. 骨科手术风险评分在260例老年髋部骨折中的应用[J]. 创伤外科杂志, 2008, 10(2): 124-127. |
| [3] | 兰秀夫, 王爱民. 建立一种新评分系统用于术前评估老年髋部骨折手术风险[J]. 中华创伤杂志, 2010, 26(3): 225-230. |
| [4] | Mohamed, K., Copeland, G.P., Boot, D., et al. (2002) An Assessment of the POSSUM System in Orthopaedic Surgery. The Journal of Bone and Joint Surgery. British Volume, 84,735-739.
https://doi.org/10.1302/0301-620X.84B5.0840735 |
| [5] | 颜虹, 徐勇勇, 赵耐清. 医学统计学[Ｍ]. 北京: 人民卫生出版社, 2005: 219-228. |
| [6] | Gijsen, R. (2001) Causes and Consequences of Comorbidity: Are View. Journal of Clinical Epidemiology, 54, 661-674.
https://doi.org/10.1016/S0895-4356(00)00363-2 |
| [7] | O’Malley, N.T., Fleming, F.J., Gunzler, D.D., et al. (2012) Factors in Dependently Associated with Complications and Length of Stay after Hip Arthroplasty: Analysis of the National Surgical Quality Improvement Program. The Journal of Arthroplasty, 27, 1832-1837. https://doi.org/10.1016/j.arth.2012.04.025 |
| [8] | Keisu, K.S., Orozco, F., Sharkey, P.F., et al. (2001) Primary Cement Less Total Hip Arthroplasty in Octogenarians. Two to Eleven Year Follow Up. The Journal of Bone and Joint Surgery. American Volume, 83, 359-363.
https://doi.org/10.2106/00004623-200103000-00007 |
| [9] | Wurtz, L.D., Feinberg, J.R., Capapello, W.N., et al. (2003) Elective Primary Total Hip Arthroplasty in Octogenarians. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 58, 468-471. |
| [10] | 兰秀夫, 王爱民. POSSUM评分系统预测骨科高龄患者手术风险的研究进展[J]. 重庆医学, 2008, 37(5): 535-537. |
| [11] | 谷贵山, 张德宝, 孙乃坤, 等. PPossum和possum评分系统预测老年髋关节置换死亡率和并发症发生率的对比研究[J]. 中国老年学杂志, 2005, 25(12): 1440-1442. |
| [12] | 谷贵山, 张博皓, 李子川. Possum评分系统简介及在骨科推广应用的建议[J]. 中国骨肿瘤骨病, 2005, 4(3): 172-174. |
| [13] | Wright, D.M., Blanckley, S., Stewart, G.J., et al. (2008) The Use of Orthopaedic POSSUM as a Audit Tool for Fractured Neck of Femur. Injury—International Journal of the Care of the Injured, 39, 430-435.
https://doi.org/10.1016/j.injury.2007.11.009 |
| [14] | Ramanathan, T.S., Moppett, I.K., Wenn, R., et al. (2005) POSSUM Scoring for Patients with Fractured Neck of Femur. British Journal of Anaesthesia, 94, 430-433. https://doi.org/10.1093/bja/aei064 |
| [15] | 刘忠唐, 潘孝云, 王琦, 等. 髋关节置换术治疗股骨转子间骨折内固定失败[J]. 中华骨科杂志, 2011, 31(7): 784-788. |
| [16] | D’Arrigo, C., Perugia, D., Carcangiu, A., et al. (2010) Hip Arthroplasty for Failed Treatment of Proximal Femoral Fractures. International Orthopaedics, 34, 939-942. https://doi.org/10.1007/s00264-009-0834-x |
| [17] | 王亮, 陈宏峰, 甄相周, 等. 非骨水泥半髋关节置换术治疗老年不稳定股骨转子间骨折[J]. 中华骨科杂志, 2012, 32(7): 642-647. |
