脊柱手术后发生肺部并发症风险评估表的临床应用.

Objective To explore the clinical application of the risk assessment table for predicting and managing pulmonary complications after spinal surgery, and to verify its effectiveness. Methods A prospective study was conducted on patients who underwent spinal surgery in this hospital from June to December 2020, and the risk assessment table was used to evaluate and score them. The area under receiver characteristic curve (ROC curve) (AUC) was used to evaluate the effect of the prediction model combining sensitivity and specificity, the cutoff point with the largest sum of the two was selected as the boundary value to determine the criteria for identifying high-risk patients. Results A total of 388 patients were included in the study, of which 28 patients (7.22%) had postoperative pulmonary complications, including 19 cases of pulmonary inflammation, six cases of pleural effusion and three cases of respiratory failure. The AUC under the ROC curve of preoperative evaluation score was 0.855, which showed that the evaluation had high accuracy. The AUC under the ROC curve of the postoperative evaluation score was 0.759, and that pre-discharge was 0.769, indicating that the evaluation result was reliable. According to the comprehensive sensitivity and specificity, the results showed that the spinal surgery patients with a total score of preoperative evaluation was more than 6.5 points, the total score of postoperative evaluation was more than 15.5 points, and the total score of more than 15.5 in the pre-discharge assessment had a higher risk of postoperative pulmonary complications. Conclusion The clinical effect of the risk assessment table is reliable, which provides an effective reference for objectively quantifying the risk of pulmonary complications after spinal surgery. [ABSTRACT FROM AUTHOR]