Analysis of influencing factors of exhaust time in patients undergoing neurosurgery

doi:10.3969/j.issn.1006-7795.2021.05.019

Abstract

Abstract: Objective To analyzes the risk factors of patients who did not exhaust 24 h after neurosurgery, and to provide guidance for early interventions to restore the patients' gastrointestinal function as soon as possible. Methods Patients who underwent neurosurgery were divided into ≤24 h exhaust group and >24 h exhaust group, and their demographics, intraoperative and postoperative details were compared. Results Among the 2 446 patients, 897 (36.7%) did not exhaust 24 h after neurosurgery. The variables associated with this condition in univariate analysis were gender (female vs male), estimated blood loss volume, whether to infuse suspended red blood cells, operation time (≥4 h vs <4 h), numerical rating scales (NRS) scores at rest and during movement at postoperative 6 h and 24 h (>3 vs ≤3), and whether there was nausea and vomiting at postoperative 6 h and 24 h (all P<0.05). Binary Logistic regression analysis showed that female gender (B=0.333, OR=1.395, P<0.001), operation time ≥4 h (B=0.383, OR=1.467, P<0.001), and nausea and vomiting at postoperative 24 h (B=0.585, OR=1.794, P<0.001) were independent risk factors for patients who did not exhaust 24 h after neurosurgery. Conclusion The results in this study suggested the clinicians should pay close attention to patients with independent risk factors (female gender, operation time ≥4 h, and nausea and vomiting at postoperative 24 h) to accelerate the recovery of gastrointestinal function in patients undergoing neurosurgery.

Key words: neurosurgery, exhaust, influencing factors

CLC Number:

R614

Miao Fangfang, Feng Xuexin, Hou Ruixue, Duan Qingfang, Wang Tianlong. Analysis of influencing factors of exhaust time in patients undergoing neurosurgery[J]. Journal of Capital Medical University, 2021, 42(5): 816-821.

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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2021.05.019

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2021/V42/I5/816

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