摘要
目的研究构建基于Logistic回归的移位型股骨颈骨折患者术后髋关节功能恢复风险预测模型。方法选取2021年6月-2023年6月绥阳县人民医院收治的118例移位型股骨颈骨折患者为研究对象。所有患者均进行髋关节置换术治疗,术后对患者进行髋关节功能(Harris)评分,以判定患者术后髋关节功能恢复状况。根据患者的髋关节功能恢复情况将患者分为功能良好组和功能不良组,采用多因素Logistic回归分析患者术后髋关节功能恢复不良的危险因素,并基于危险因素构建风险预测模型。结果118例移位型股骨颈骨折患者均完成髋关节置换术治疗,术后3个月随访,髋关节功能恢复不良率为38.98%。经多因素Logistic多元回归分析显示,高龄、骨质疏松、隐性失血量大、术后并发症发生、Garden骨折分型为4型是移位型股骨颈骨折术后髋关节功能恢复不良的危险因素。根据危险因素构建的Log P风险预测模型有较高的效能,ROC-AUC(0.95CI)为0.862(0.715-0.981)。结论移位型股骨颈骨折患者术后有较高的髋关节功能恢复不良率。影响术后髋关节功能恢复不良的危险因素包括高龄、骨质疏松、隐性失血量大、术后并发症、Garden骨折分型。根据危险因素构建的Log P风险预测模型对移位型股骨颈骨折患者术后髋关节功能恢复不良有较高的预测效能。
Objective To study and construct a risk prediction model for postoperative hip joint function recovery in patients with displacement type femoral neck fractures base on Logistic regression.Methods 118 patients with displacement type femoral neck fractures admitted to the People's Hospital of Suiyang from June 2021 to June 2023 were selected as study subjects.All patients were treated with hip replacement operation,and the hip function(Harris)score of the patients was evaluated after operation,which was uesd to determine the recovery of hip joint function in patients after operation.Patients were divided into good function group and poor function group according to the recovery of hip joint function,the risk factors of poor recovery of hip joint function after operation were analyzed by multivariate Logistic regression,and a risk prediction model was constructed based on the risk factors.Results All 118 patients with displacement type femoral neck fractures completed hip replacement,after 3 months of follow-up,the poor recovery rate of hip joint function was 38.98%.Multivariate Logistic regression analysis showed that,advanced age,osteoporosis,large hidden blood loss,postoperative complications,and Garden fracture type 4 were risk factors for poor recovery of hip function after displaced femoral neck fracture.The Log P risk prediction model based on risk factors had high efficiency,and the ROC-AUC(0.95 CI)was 0.862(0.715-0.981).Conclusion Patients with displacement type femoral neck fractures have a higher rate of poor recovery of hip function after operation.The risk factors affecting the poor recovery of hip function after operation include advanced age,osteoporosis,large hidden blood loss,postoperative complications,and Garden fracture classification.The Log P risk prediction model base on risk factors has a high predictive efficiency for the poor recovery of hip joint function in patients with displacement type femoral neck fractures.
作者
董建权
谢远胜
陈远翼
杨贵昌
梁正强
Dong Jianquan;Xie Yuansheng;Chen Yuanyi;Yang Guichang;Liang Zhengqiang(Department of Orthopedics,Suiyang County People's Hospital,Zunyi,Guizhou 563300,China)
出处
《首都食品与医药》
2024年第13期46-49,共4页
Capital Food Medicine
关键词
移位型股骨颈骨折
髋关节置换术
髋关节功能
风险预测模型
Displacement type femoral neck fracture
Hip replacement operation
Hip joint function
Risk prediction model
