Establishment and evaluation of nomogram model for risk of PICC related upper extremity deep vein thrombosis in elderly patients (高龄患者PICC导管相关性上肢深静脉血栓发生风险的列线图模型构建与评估)

2022

中西医结合护理, Vol 8, Iss 12, Pp 2-8 (2022)

Objective To establish a nomogram predicting model for assessing the risk factors of peripherally inserted central catheter (PICC) related upper extremity deep venous thrombosis (DVT) in elderly patients, and to evaluate the discrimination and consistency of the model. Methods The clinical data of 362 elderly patients with PICC in researched hospital from January 2014 to December 2019 were retrospectively analyzed by self-design questionnaire. The incidence of catheter-related upper extremity DVT was calculated. Research subjects were divided into DVT group and non DVT group. The risk factors related to upper extremity DVT occurrence were screened by Logistic regression model, and the risk factors were included in R software to construct the risk factors of upper extremity DVT. The discrimination and consistency of the prediction model were evaluated by ROC curve and goodness-of-fit test. Results The incidence of upper extremity DVT in elderly patients over 80s with PICC was 20. 44% (74/362). The results of Logistic regression model showed that the age, malignant tumor, D-D level before catheterization and operation history during catheterization were independent risk factors for upper extremity DVT in elderly patients with PICC (P

article

Chinese

Journal of International Translational Medicine Limited, 2022.

peripherally inserted central venous catheter, upper extremity deep vein thrombosis, risk factors, nomogram model, 经外周静脉穿刺中心静脉置管, 上肢深静脉血栓, 危险因素, 列线图模型, Nursing, RT1-120