一个新的基于诺莫格拉姆的预测模型,用于用于分垂体疾病的西格切除后的术后结果
Sascha Vaghiri1, Sarah Krieg2, Dimitrios Prassas1
1Department of Surgery (A), Heinrich-Heine-University, University Hospital Duesseldorf, 40225 Duesseldorf, Germany.
Medicina (Kaunas, Lithuania)
|June 28, 2023
概括
一个新的名图可以预测sigmoid切除后的并发症,识别血红蛋白和手术时间等因素. 这种工具有助于风险分层,以减少接受此类手术的患者的不良术后结果.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术瘤学手术瘤学
- 预测建模预测建模
背景情况:
- 西格切除带有经术后并发症的重大风险.
- 确定不良结果的预测因素对于患者管理至关重要.
研究的目的:
- 开发一个基于诺莫格拉姆的预测模型,用于西格切除后的不良外科治疗结果.
- 将患者特异性,疾病相关和外科手术因素纳入模型.
主要方法:
- 分析了一份前性维护的数据库 (2004-2022年) 分析了因分歧性疾病而接受西格莫切除术的患者.
- 多变量逻辑回归确定了术后结果的显著预测因素.
- 基于已识别的因素,建立了一个动态名录图.
主要成果:
- 在282名患者中,总体发病率为41.3%,死亡率为3.55%.
- 手术前的血红蛋白,ASA分类,手术接入和手术时间预测了不良结果.
- 低血红蛋白,高ASA类,免疫抑制,紧急干预和手术时间影响了住院时间.
结论:
- 基于名图的评分工具可以有效地对西格切除患者的风险进行分层.
- 该工具旨在减少可预防的术后并发症.
- 预测建模增强了手术风险评估和患者护理.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
126
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
126
Inflammatory Bowel Disease V: Surgical Management
173
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
173
Appendicitis-II: Diagnostic Studies and Management
103
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
103
Assessment of the Rectum and Anus
283
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
283


