Establishment of a nomogram model for moderate and severe postoperative pain in patients with individualized mixed hemorrhoids

Fang Zhengjie; Guo Aifen.

doi:10.3969/j.issn.1006-5253.2023.06.00３

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Chinese Journal of Hospital Statistics ›› 2023, Vol. 30 ›› Issue (6) : 412-417. DOI: 10.3969/j.issn.1006-5253.2023.06.00３

Establishment of a nomogram model for moderate and severe postoperative pain in patients with individualized mixed hemorrhoids

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Objective To investigate the risk factors of postoperative moderate to severe pain in patients with mixed hemorrhoids, and to establish a nomogram model of postoperative moderate and severe pain in patients with mixed hemorrhoids.Methods Two hundred and seventy patients with mixed hemorrhoids who underwent surgical treatment in a hospital from March 2019 to November 2022 were selected as the study objects. Lasso-logistic regression was used to screen the predictors of postoperative moderate and severe pain in patients with mixed hemorrhoids, logistic regression was used to screen the risk factors of postoperative moderate and severe pain in patients with mixed hemorrhoids, R software was used to establish the nomogram model of postoperative moderate and severe pain in patients with mixed hemorrhoids, and the nomogram model of postoperative moderate and severe pain in patients with mixed hemorrhoids was verified.Results Among 270 patients with mixed hemorrhoids, 53 patients had moderate and severe pain after the surgery, and the incidence of moderate and severe pain was 19.63% (53/270) (95%CI: 0.712-0.846). Logistic regression analysis showed that grade IV mixed hemorrhoids, traditional external stripping and internal ligation, poor sleep status, drinking history and diabetes were the risk factors for postoperative moderate and severe pain in mixed hemorrhoids patients (P<0.05). The C-index of the nomogram model for postoperative moderate and severe pain in patients with mixed hemorrhoids was 0.737 (95%CI: 0.698-0.778). The predicted value of the correction curve was basically consistent with the actual value. The area under ROC curve of the model was 0.725 (95%CI: 0.684-0.767). When the decision curve showed a threshold probability of 8%-67%, the net benefit value predicted by the nomogram for mixed hemorrhoids patients with postoperative moderate and severe pain was higher.Conclusion Grade IV mixed hemorrhoids, traditional external stripping and internal ligation, poor sleep status, drinking history and diabetes are the risk factors for postoperative moderate and severe pain in patients with mixed hemorrhoids. The nomography model of postoperative moderate and severe pain in patients with mixed hemorrhoids has high clinical application value.

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mixed hemorrhoids / surgical treatment / moderate and severe pain / nomograph

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Fang Zhengjie, Guo Aifen. . Establishment of a nomogram model for moderate and severe postoperative pain in patients with individualized mixed hemorrhoids[J]. Chinese Journal of Hospital Statistics, 2023, 30(6): 412-417 https://doi.org/10.3969/j.issn.1006-5253.2023.06.00３

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