Prediction of Postoperative Sore Throat in Patients After Day-case Surgery With General Anesthesia: A Retrospective Study

doi:10.1016/j.jopan.2024.03.022

科研成果详情

题名	Prediction of Postoperative Sore Throat in Patients After Day-case Surgery With General Anesthesia: A Retrospective Study
作者	Zijun Zhou 1; Linglin Gao1; Zhu Lv1; Linyao Chen 2; Kuan Lu3; Jinxia Cai1; Jiehao Sun4; Xiaodan Chen 5
发表日期	2024-08-08
发表期刊	Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses 影响因子和分区
语种	英语
原始文献类型	Journal Article
关键词	day-case surgery general anesthesia nomogram postoperative sore throat
摘要	Postoperative sore throat (POST) is a major complaint after day-case surgery. The objectives of this study were to investigate the risk factors for POST and develop a stratified nursing model for POST after day-case surgery., This case-control study was conducted at Department of Anesthesiology of 1st Affiliated Hospital of Wenzhou Medical University in Wenzhou, Zhejiang, China., Anesthesia records and postanesthesia care files of adult patients undergoing day-case surgery with general anesthesia were reviewed. The primary outcome was the incidence of POST at 24 hours after day-case surgery or before discharge within 24 hours. Multivariate logistics regression was used to identify risk factors for POST. A nomogram was created to predict the probability of POST after day-case surgery., A total of 9,312 records were retrieved from June 1, 2021 to April 30, 2022, including 8,499 files in the training group and 813 files in the validation group. One thousand five hundred and twenty-five cases in the training group experienced POST. The independent risk factors for POST included: thyroid surgery (odds ratios [OR] = 22.42, 95% confidence intervals [CI]: 18.45 to 27.25), shorter thyromental distance (OR = 1.18, 95% CI: 1.06 to 1.30), smaller neck circumference (OR = 1.09, 95% CI: 1.06 to 1.11), duration of anesthesia (OR = 1.13, 95% CI: 1.04 to 1.22), female (OR = 1.66, 95% CI: 1.41 to 1.96), age (OR = 0.99, 95% CI: 0.99 to 1.00) and the presence of bloody sputum (OR = 8.33, 95% CI: 6.53 to 10.63). A nomogram that involved five factors was established to predict the probability of POST after day-case surgery. The area under the receiver operating characteristic curve in the training and validation groups was 0.77 and 0.81, respectively. The calibration curve demonstrated good consistency between the actual POST and the predicted probability., The following variables are independently associated with POST: thyroid surgery, age approaching to 40 years old, female, shorter thyromental distance and smaller neck circumference, longer duration of anesthesia, and the presence of bloody sputum. A novel stratified nursing model is feasible for predicting the probability of POST.
ISSN	1089-9472
EISSN	1532-8473
DOI	10.1016/j.jopan.2024.03.022
收录类别	PUBMED
URL	查看原文
PubMed ID	39127927
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/217628
专题	附属第一医院第一临床医学院（信息与工程学院）、附属第一医院_麻醉科
作者单位	1.Department of Anesthesiology, 1st Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.; 2.Wenzhou Medical University, Wenzhou, China.; 3.Department of Anesthesiology, Lishui People's Hospital and 6th Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.; 4.Department of Anesthesiology, 1st Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. Electronic address: sun_jiehao@126.com.; 5.Operation Room Nursing, 1st Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. Electronic address: xiaodan13736718512@126.com.
第一作者单位	附属第一医院
第一作者的第一单位	附属第一医院
推荐引用方式 GB/T 7714	Zijun Zhou,Linglin Gao,Zhu Lv,et al. Prediction of Postoperative Sore Throat in Patients After Day-case Surgery With General Anesthesia: A Retrospective Study[J]. Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses,2024.
APA	Zijun Zhou., Linglin Gao., Zhu Lv., Linyao Chen., Kuan Lu., ... & Xiaodan Chen. (2024). Prediction of Postoperative Sore Throat in Patients After Day-case Surgery With General Anesthesia: A Retrospective Study. Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses.
MLA	Zijun Zhou,et al."Prediction of Postoperative Sore Throat in Patients After Day-case Surgery With General Anesthesia: A Retrospective Study".Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses (2024).