关节置换病人术后谵妄发生风险预测模型的系统评价

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AbstractObjective：Tosystematicallrevewandevaluateriskpredictionmodelsforpostoperativedeliuminpatientsaftertotaljoint arthroplasty，withaviewtoprovidereferencesforcinicians toselectandimproveriskassessmenttools.Methods：CNK，WanFang Data，CBM，VI，ubed，Webofience，Ebase，CchaneLibraryandCAHwereearchedfroineptiontoAugust04. Tworesearchersidependentlysreeedliteratureextractedataandevaluatedtequalityofthecudedstudies.Results：Atotalof1 studieswereincluded，with theAUCrangedfromO.79OtoO.92.Thetop4predictorsofrepeatedreportswereage，preoperative albumin，ASAgadeandintraoperativebloodloss.AplicabilityofallstudieswasgoodbuttheriskofbiaswashighCocusion： Curentevidenceshowsthattheriskpredictionmodelfopostopeatiedeliiminpatintsaftertotaljointarthroplastissillite exploratorystage.Intefuture，tedevelopmentandvalidationofprospective，largesampleandmultienterpredictionmodelshouldbe promoted，and gradually being promoted and applied to clinical practice.

Keywordsjoint arthroplasty; delirium; prediction model; systematic review; evidence-based nursing

人工关节置换术（total jointarthroplasty，TJA）是临床治疗晚期骨关节炎、髋部骨折等多种骨科疾病最有效的方法[1-2]。（剩余11690字）