汉化版LAS VEGAS风险评估量表对重症病人术后肺部并发症发生情况的预测价值

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Predictive value of Chinese version of LAS VEGAS Risk Assessment Scale for occurrence status of postoperative pulmonary complications in critically ill patients

ZHANG Wenting， XU Jiaqing， GAO Yingying， LI Shengfang， DING Xiaorong

Peking University Shenzhen Hospital， Guangdong 518000 China

Corresponding Author  XU Jiaqing， E⁃mail： 33232237@qq.com

Abstract  Objective：To investigate the predictive value of the Chinese version of the LAS VEGAS Risk Assessment Scale for postoperative pulmonary complications in critically ill patients.Methods：From January 2020 to December 2020，495 critically ill patients who underwent surgical treatment in the department of intensive care unit of Peking University Shenzhen Hospital were selected as the research objects.The Chinese version of the LAS VEGAS Risk Assessment Scale was used to assess the risk of postoperative pulmonary complications in 495 critically ill patients after surgery； The influencing factors of postoperative pulmonary complications in critically ill patients were analyzed.The ROC curve was used to evaluate the predictive value of the Chinese version of LAS VEGAS Risk Assessment Scale for postoperative pulmonary complications in critically ill patients.Results：101 of 495 severe patients had postoperative pulmonary complications，the occurrence rate was 20.4%.Age，department，ASA level，preoperative anemia，preoperative SpO2，type of surgical procedure，with cancer or not，operation time，type of anesthesia，intraoperative desoxysaturation，and intraoperative vasoactive drug requirement had significant effects on the score of Chinese version of LAS VEGAS Risk Assessment Scale （P<0.05）.The AUC of the Chinese version of the LAS VEGAS Risk Assessment Scale for the prediction value of postoperative pulmonary complications was 0.625，the maximum Youden index was 20.4%，and the sensitivity was 73.3%，the specificity was 47.1%.Conclusion：The Chinese version of LAS VEGAS Risk Assessment Scale had a general predictive effect on the occurrence of postoperative pulmonary complications in critically ill patients in China，and its applicable population and types of diseases need to be further verified.

Keywords  critical ill patient； postoperative pulmonary complications； evaluation tool； predictive value； influencing factor

摘要  目的：探讨汉化版LAS VEGAS风险评估量表对重症病人术后肺部并发症发生情况的预测价值。（剩余8164字）