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29 September 2021: Clinical Research

Identification of Risk Factors for Intraoperative Acquired Pressure Injury in Patients Undergoing Neurosurgery: A Retrospective Single-Center Study

Ying Wu 1AD* , Zhiqun Jiang 2AF* , Shuzhen Huang 1BCD , Bin Shi 1BCD , Chan Wang 1BCD , Yu Zeng 1BEG*

DOI: 10.12659/MSM.932340

Med Sci Monit 2021; 27:e932340

Table 2 Risk factors for incidence of IAPI in univariate logistic regression analysis.

VariableβOR (95% CI)P value
Age (y)
 41–65 vs 18–40−0.210.809 (0.420–1.557)0.526
 >65 vs 18–400.441.547 (0.654–3.657)0.320
Sex (Male vs Female)−0.590.553 (0.331–0.925)0.024
BMI (kg/m)
1.213.365 (1.491–7.595)0.004
 >23.0 vs 18.0– (1.980–6.135)
Smoking (yes vs no)0.882.400 (1.137–5.067)0.022
Hypertension (yes vs no)0.411.503 (0.899–2.514)0.120
Diabetes (yes vs no)0.441.550 (0.559–4.300)0.400
History of surgery (yes vs no)0.291.330 (0.746–2.373)0.334
Physical activity (yes vs no)−0.090.913 (0.308–2.710)0.870
 Low vs normal−0.680.506 (0.151–1.700)0.271
 High vs normal0.872.391 (0.813–7.027)0.113
Serum albumin (≥35 vs−1.230.292 (0.083–1.027)0.055
Intraoperative position
Prone position vs supine1.916.724 (2.895–15.613)
Lateral position vs supine2.8817.777 (8.697–36.340)
Position pad
 General sponge mat vs gel pad−0.290.750 (0.376–1.498)0.416
 Memory sponge pad vs gel pad−1.600.203 (0.089–0.461)
Head frame (yes vs no)2.5613.000 (7.232–23.369)
Blood transfusion
 Composition of the blood vs no0.922.510 (1.349–4.673)0.004
 Autologous blood vs no1.203.331 (1.717–6.465)
The use of vasoactive agent (yes vs no)−0.080.919 (0.545–1.551)0.752
ASA score
 3 vs 20.551.738 (0.876–3.449)0.114
 4 vs 20.942.571 (0.474–13.942)0.274
Surgical time (h)
 4–8 vs 1–41.635.090 (1.787–14.494)0.002
 >8 vs 1–43.2926.932 (8.453–85.805)
Surgery type (neurovascular vs oncological)1.514.335 (1.546–12.348)0.005
Blood loss (mL)
 500–1000 vs0.962.603 (1.466–4.621)0.001
 >1000 vs1.685.364 (2.497–11.524)
ASA – American Society of Anesthesiologists; CI – confidence interval; IAPI – intraoperative acquired pressure injury; OR – odds ratio.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750