Risk factors and the nomogram model for intraoperatively acquired pressure injuries in children with brain tumours: A retrospective study

作者全名："Qu, Hong; Tang, Xurong; Zeng, Wei; Fu, Shaochuan; Zhou, Rong; Mou, Shaoyu"

作者地址："[Qu, Hong; Tang, Xurong; Zeng, Wei; Fu, Shaochuan; Zhou, Rong] Natl Clin Res Ctr Child Hlth & Disorders, Dept Operat Childrens Hosp Chongqing Med Univ, Minist Educ Key Lab Child Dev & Disorders, Chongqing Key Lab Pediat, Chongqing, Peoples R China; [Mou, Shaoyu] Dept Nursing Chongqing Med Univ, Chongqing, Peoples R China; [Mou, Shaoyu] Chongqing Med Univ, Chongqing 400014, Peoples R China"

通信作者："Mou, SY (通讯作者)，Chongqing Med Univ, Chongqing 400014, Peoples R China."

来源：INTERNATIONAL WOUND JOURNAL

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000931513700001

JCR分区：Q1

影响因子：3.1

年份：2023

卷号：　

期号：　

开始页：　

结束页：　

文献类型：Article; Early Access

关键词：brain tumours; intraoperatively acquired pressure injuries; nomogram; nursing care; operation

摘要："This study aimed to investigate the clinical features and incidence of Intraoperatively Acquired Pressure Injuries (IAPIs) of brain tumours in children, to screen the risk factors and to establish a nomogram model for making prevention strategies against the development of IAPIs. Clinical data of 628 children undergoing brain tumour surgery from August 2019 to August 2021 were extracted from the adverse events and the electronic medical systems. They were randomly divided into a training cohort(n = 471) and a validation cohort(n = 157). The univariate and multivariate analysis was performed to identify the risk factors in training cohort; R software was used to construct a nomogram model; the area under the receiver operator characteristic curve (AUC) and calibration plots were used to judge the predictive performance of the nomogram model; decision curve analysis (DCA) was used to assess the clinical usefulness of the nomogram model. Age, haemorrhage, use of vasopressor, temperature, operation time and operation position were considered as significant risk factors, and enrolled to construct a nomogram model. The results of AUC showed satisfactory discrimination of the nomogram; the calibration plots indicated favourable consistency between the prediction of the nomogram and actual observations in both the training and validation cohorts; DCA showed better net benefit and threshold probability of the nomogram model. The nomogram model illustrates significant predictive ability, which can provide scientific and individual guidance for preventing development of IAPIs."

基金机构：Nursing Research Projects of Children's Hospital of Chongqing Medical University in China [CHCQMU2019.12]

基金资助正文：ACKNOWLEDGEMENTS We are deeply grateful to all the participants who contributed to the study. The study was funded by Nursing Research Projects of Children's Hospital of Chongqing Medical University in China (CHCQMU2019.12).