Construction of risk model for postoperative complications after craniofacial skin flap repair

Autor: Qin LI, Yingxue LI, Xin YU, Hongyu WU, Suzhen HUANG
Jazyk: čínština
Rok vydání: 2022
Předmět:
Zdroj: Pifu-xingbing zhenliaoxue zazhi, Vol 29, Iss 3, Pp 220-225 (2022)
Druh dokumentu: article
ISSN: 1674-8468
DOI: 10.3969/j.issn.1674-8468.2022.03.005
Popis: Objective To analyze the risk factors of postoperative complications after craniofacial flap repair, and to establish a risk prediction model. Methods A total of 120 patients who underwent skin flap repair from October 2017 to September 2020 were selected. Univariate and logistic multivariate regression analyses were used to screen the risk factors for complications after skin flap repair, and a personalized predictive nomogram model was established. Results The incidence of postoperative complications was 25.83%. The main complications were flap vascular crisis, infection, flap avulsion, subcutaneous hematoma and edema. Logistic multivariate regression analysis revealed that the risk factors for complications after skin flap repair included venous end-to-side anastomosis (OR=3.766, 95% CI: 1.587~8.938), excessive intraoperative blood loss (OR=2.889, 95% CI: 1.089~7.668), smoking history (OR=4.697), 95% CI: 1.558~14.161), physician′s surgical skill (OR=3.062, 95% CI: 1.183~7.922) and improper flap design (OR=2.399, 95% CI: 0.861~6.686) (P
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