29 September 2021: Clinical Research
Identification of Risk Factors for Intraoperative Acquired Pressure Injury in Patients Undergoing Neurosurgery: A Retrospective Single-Center Study
Ying Wu 1AD* , Zhiqun Jiang 2AF* , Shuzhen Huang 1BCD , Bin Shi 1BCD , Chan Wang 1BCD , Yu Zeng 1BEG*DOI: 10.12659/MSM.932340
Med Sci Monit 2021; 27:e932340
Table 2 Risk factors for incidence of IAPI in univariate logistic regression analysis.
| Variable | β | OR (95% CI) | P value |
|---|---|---|---|
| Age (y) | |||
| 41–65 vs 18–40 | −0.21 | 0.809 (0.420–1.557) | 0.526 |
| >65 vs 18–40 | 0.44 | 1.547 (0.654–3.657) | 0.320 |
| Sex (Male vs Female) | −0.59 | 0.553 (0.331–0.925) | 0.024 |
| BMI (kg/m) | |||
| 1.21 | 3.365 (1.491–7.595) | 0.004 | |
| >23.0 vs 18.0–23.0 | 1.25 | 3.485 (1.980–6.135) | |
| Smoking (yes vs no) | 0.88 | 2.400 (1.137–5.067) | 0.022 |
| Hypertension (yes vs no) | 0.41 | 1.503 (0.899–2.514) | 0.120 |
| Diabetes (yes vs no) | 0.44 | 1.550 (0.559–4.300) | 0.400 |
| History of surgery (yes vs no) | 0.29 | 1.330 (0.746–2.373) | 0.334 |
| Physical activity (yes vs no) | −0.09 | 0.913 (0.308–2.710) | 0.870 |
| Hemoglobin | |||
| Low vs normal | −0.68 | 0.506 (0.151–1.700) | 0.271 |
| High vs normal | 0.87 | 2.391 (0.813–7.027) | 0.113 |
| Serum albumin (≥35 vs | −1.23 | 0.292 (0.083–1.027) | 0.055 |
| Intraoperative position | |||
| Prone position vs supine | 1.91 | 6.724 (2.895–15.613) | |
| Lateral position vs supine | 2.88 | 17.777 (8.697–36.340) | |
| Position pad | |||
| General sponge mat vs gel pad | −0.29 | 0.750 (0.376–1.498) | 0.416 |
| Memory sponge pad vs gel pad | −1.60 | 0.203 (0.089–0.461) | |
| Head frame (yes vs no) | 2.56 | 13.000 (7.232–23.369) | |
| Blood transfusion | |||
| Composition of the blood vs no | 0.92 | 2.510 (1.349–4.673) | 0.004 |
| Autologous blood vs no | 1.20 | 3.331 (1.717–6.465) | |
| The use of vasoactive agent (yes vs no) | −0.08 | 0.919 (0.545–1.551) | 0.752 |
| ASA score | |||
| 3 vs 2 | 0.55 | 1.738 (0.876–3.449) | 0.114 |
| 4 vs 2 | 0.94 | 2.571 (0.474–13.942) | 0.274 |
| Surgical time (h) | |||
| 4–8 vs 1–4 | 1.63 | 5.090 (1.787–14.494) | 0.002 |
| >8 vs 1–4 | 3.29 | 26.932 (8.453–85.805) | |
| Surgery type (neurovascular vs oncological) | 1.51 | 4.335 (1.546–12.348) | 0.005 |
| Blood loss (mL) | |||
| 500–1000 vs | 0.96 | 2.603 (1.466–4.621) | 0.001 |
| >1000 vs | 1.68 | 5.364 (2.497–11.524) | |
| ASA – American Society of Anesthesiologists; CI – confidence interval; IAPI – intraoperative acquired pressure injury; OR – odds ratio. | |||