Influencing factors of intraoperative pressure injury in patients with thoracolumbar fracture
MIAO Miao1 XU Xin2 ZHANG Peipei3 JIANG Liping4
1.School of Nursing, Shanghai Jiao Tong University, Shanghai 200025, China;
2.School of Nursing, Wenzhou Medical University, Zhejiang Province, Wenzhou 325000, China;
3.Department of Emergency Operation Room, Shanghai Jiao Tong University Medical College Affiliated Xinhua Hospital, Shanghai 200092, China; 4.Department of Nursing, Shanghai Jiao Tong University Medical College Affiliated Xinhua Hospital, Shanghai 200092, China
Abstract：Objective To investigate the influencing factors of intraoperative pressure injuries (PI) in patients with thoracolumbar fracture. Methods The clinical data of 150 patients undergoing prone thoracolumbra fracture surgery in the Shanghai Jiao Tong University Medical College Affiliated Xinhua Hospital from January to July 2022 were retrospectively analyzed. According to whether PI occurred during the operation, the patients were divided into the occurrence group (24 cases) and the non-occurrence group (126 cases). Univariate statistical analysis was performed on the general information and clinical data of the two groups, and the indexes that may affect the intraoperative PI of the patients undergoing thoracolumbar fracture surgery were initially screened. The independent risk factors of PI in patients undergoing thoracolumbar fracture surgery were analyzed by logistic regression. Results The ratio of PI injury in head and face surgery was the highest. Preoperative serum albumin (Alb) level, operation time, protective materials used during operation, and vasoactive drugs were compared between the two groups, the differences were statistically significant (P＜0.05). Logistic regression analysis showed that low serum Alb expression before surgery, long operation time, protective materials used during surgery, and vasoactive drugs were the influencing factors for intraoperative PI in patients with thoracolumbar fracture surgery (P＜0.05). Conclusion The low expression of serum Alb before surgery, long operation time, protective materials used during operation, and vasoactive drugs may affect the occurrence of PI in patients undergoing thoracolumbar fracture surgery.
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