期刊
SURGERY TODAY
卷 49, 期 9, 页码 769-777出版社
SPRINGER
DOI: 10.1007/s00595-019-01796-8
关键词
Postoperative pneumonia; Major abdominal surgery; Upper midline incision; Predictive factor
类别
Purpose Postoperative pneumonia (POP) is a common complication that can adversely affect the outcomes after surgery. This study aimed to devise and validate a model for stratifying the probability of POP in patients undergoing abdominal surgery. Methods We included 1050 patients who underwent major abdominal surgery between 2012 and 2013. A nomogram was devised by evaluating the predictive factors for POP. Results Of the 1050 patients, 56 (5.3%) developed POP. Multivariable logistic regression analysis revealed that the independent predictive factors for POP were age, male sex, history of cerebrovascular disease, Brinkman Index (BI) >= 900, and upper midline incision. A nomogram was devised by employing these five significant predictive factors. The prediction model showed a relatively good discrimination performance, with a concordance index of 0.77. Conclusions A nomogram based on age, male sex, history of cerebrovascular disease, BI >= 900, and upper midline incision may be useful for identifying patients with a high probability of developing POP after major abdominal surgery.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据