Hussman病情和体质状况评估方法预测围术期并发症

Application of Hussman's preoperative risk assessment in predicting the intraoperative complications

目的探讨Hussman病情和体质状况评估方法预测围术期并发症的作用。方法2015年5月至2016年5月各科手术患者2 494例,男1 462例,女1 032例,采用Hussman病情和体质状况评估方法进行风险评估,观察并记录围术期并发症的发生情况。结果 2 494例患者围术期发生并发症336例(13.47%),其中心血管并发症是主要并发症,占80.7%。风险等级1、2、3、4、5级患者分别有1 540例(61.75%)、660例(26.46%)、202例(8.10%)、80例(3.21%)和12例(0.48%),发生并发症分别有112例(7.28%)、82例(12.42%)、82例(40.59%)、50例(62.50%)和10例(83.33%),敏感度分别为33.33%、24.40%、24.40%、14.88%和2.78%,特异度分别为33.76%、73.26%、94.44%、98.61%和99.91%,准确度分别为33.76%、66.64%、85.01%、87.33%和86.85%。结论 Hussman病情和体质状况评估方法能较好地预测围术期并发症。

Objective To explore relationship of the anesthetic risks and intraoperative complications.Methods Preoperative anesthetic risks were assessed with Hussman＇s method from May2015 to May 2016 in 2 494 surgical patients,including 1 462 males and 1 032 females.Intraoperative data and complications were tracked and recorded.Results Three hundred and thirty-six intraoperative complications occurred,accounting for 13.47% of total patients.The cardiovascular complications were a major intraoperative complications,accounting for 80.7%.2 494 patients were graded respectively into risk grade 1with 1 540（61.75%）,grade 2with 660（26.46%）,grade 3 with 202（8.10%）,grade 4with 80（3.21%）and grade 5with 12（0.48%）.The incidence of complications were 112（7.28%）,82（12.42%）,82（40.59%）,50（62.50%）and 10（83.33%）respectively.The sensitivity of prediction was 33.33%,24.40%,24.40%,14.88% and 2.78%;the specificity 33.76%,73.26%,94.44%,98.61% and 99.91%;and the accuracy 33.76%,66.64%,85.01%,87.33% and86.85%,respectively,in patients with risk grade 1,2,3,4and 5.Conclusion Hussman＇s method of anesthetic risks well predicts the intraoperative complications.