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《Journal of Medical Research》 2020-04
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Establishment of Prediction Model for Poor Incision Healing in Patients after Single-port VATS

Dai Chunlei;Lyu Yantian;Shan Yuehong;Department of Thoracic Surgery,Nanjing Medical University Affiliated Suzhou Hospital;  
Objective To establish a risk prediction model for poor incision healing in patients with lung cancer after single-port VATS. Methods A total of 120 cases of patients with lung cancer after single-port VATS,which were analyzed retrospectively from January 2017 to June 2019 in our hospital,were divided into case group(n=19) and control group(n=101) according to whether poor incision healing occurred.Univariate analysis and Logistic regression analysis were performed based on 8 factors,including gender,age, nutritional status, hypertension, diabetes, chest tube removal time, TNM stage, pathological type. Results The results of univariate analysis showed that age, nutritional status, diabetes and chest tube removal time were associated with poor incision healing(P0.05). Logistic regression analysis showed that age(OR=6.902,95% CI:1.358-35.071,P=0.020),nutritional status,(OR=3.698,95% CI:1.136-12.035,P=0.030)and diabetes(OR=5.946,95% CI:1.815-19.475,P=0.003)were the independent risk factors for poor incision healing in patients with lung cancer after single-port VATS.The area under the model ROC curve was 0.843,and the regression model was reliable. Conclusion Age, nutritional status, and diabetes were the independent risk factors for poor incision healing in patients with lung cancer after single-port VATS. More attention should be paid to these factors in order to reduce the incidence of poor incision healing.
【Fund】: 江苏省苏州市“科教兴卫”青年科技项目(kjxw2018027)
【CateGory Index】: R734.2
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