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Published on: July 5, 2011
Predictive Model Development for Postoperative Complications in Trigeminal Neuralgia Patients Undergoing Percutaneous
Yihui Du1, Wenchang Guo1, Yinzhan Wang1
1Department of Neurosurgery, Hebei General Hospital, Shijiazhuang, China.
Background:
Trigeminal neuralgia (TN) patients undergoing percutaneous balloon compression (PBC) may experience postoperative complications, warranting the investigation of influencing factors and preventive strategies.
Methods:
A retrospective analysis of 164 TN patients who underwent PBC was conducted to compare baseline characteristics and identify risk factors using LASSO regression. A multivariate logistic regression model was developed to predict complications.
Results:
Significant differences were observed between complication and non-complication groups related to nerve branches, hypertension, compression duration, and CD4+ levels. The final model identified nerve branches, diabetes, compression duration, and CD4+ levels as independent risk factors. The model exhibited good discriminatory power (AUC = 0.793) and calibration, with meaningful clinical utility shown through DCA.
Conclusions:
The study established a predictive model for postoperative complications in TN patients undergoing PBC, offering a framework for preoperative risk assessment and tailored preventive interventions.
