Xinyu Cao, Huanhuan Zhang, Yi Li, Meinv Liu, Jinhua He, Jianli Li
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引用次数: 0
摘要
目的：本研究旨在探讨血红蛋白与红细胞分布宽度比（HRR）对接受髋部骨折手术的老年患者术后谵妄（POD）的预测作用：方法：通过捕捉病历中的描述性词汇来诊断 POD。采用逻辑回归分析确定 POD 与 HRR 之间的相关性，并利用接收者操作特征曲线进一步评估 HRR 在预测 POD 方面的价值：本研究共纳入了 202 名接受髋部骨折手术的老年患者。多重逻辑回归分析结果显示，HRR（几率比，0.504 [95% 置信区间，0.340-0.747]；P 2）和中性粒细胞与 POD 存在独立相关性。HRR 的曲线下面积为 0.746（95% 置信区间，0.676-0.815），最佳临界值为 8.322：HRR、美国麻醉医师协会身体状况>2和中性粒细胞可独立预测老年髋部骨折手术患者的POD，HRR的预测价值令人满意。然而，还需要进一步的研究来证实我们的发现。Geriatr Gerontol Int 2025; --：-----.
Hemoglobin to red cell distribution width ratio predicts postoperative delirium in older patients undergoing hip fracture surgery: A retrospective cohort study
Aim
This study aimed to investigate the predictive effect of hemoglobin to red cell distribution width ratio (HRR) on postoperative delirium (POD) in older patients undergoing hip fracture surgery.
Methods
POD was diagnosed by capturing descriptive words from the medical records. The correlation between POD and HRR was determined using logistic regression analysis, and the receiver operating characteristic curve was used to further evaluate the value of HRR in predicting POD.
Results
In total, 202 older patients accepting hip fracture surgery were included in our study. The result of multiple logistic regression analysis presented HRR (odds ratio, 0.504 [95% confidence interval, 0.340–0.747]; P < 0.001), American Society of Anesthesiologists physical status >2, and neutrophils were independently correlated with POD. The area under the curve of HRR was 0.746 (95% confidence interval, 0.676–0.815), and the optimal cutoff value was 8.322.
Conclusions
HRR, American Society of Anesthesiologists physical status >2 and neutrophils could independently predict POD in older patients undergoing hip fracture surgery, and HRR had satisfactory predictive value. However, further research is needed to confirm our findings. Geriatr Gerontol Int 2025; 25: 565–571.
期刊介绍：
Geriatrics & Gerontology International is the official Journal of the Japan Geriatrics Society, reflecting the growing importance of the subject area in developed economies and their particular significance to a country like Japan with a large aging population. Geriatrics & Gerontology International is now an international publication with contributions from around the world and published four times per year.
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