手术前的身体功能测试可以预测结直肠癌患者的住院时间吗? 一个回顾性研究研究
A T Le Quang1, F Carli2, F Prince1
1Département de chirurgie, Faculté de Médecine, Université de Montréal, Montréal, Québec, Canada.
概括
手术前的身体功能,特别是6分钟步行测试 (6MWT),可以预测结肠直肠癌手术后的长时间停留 (pLOS). 431米的6MWT切线可以识别出患有延长住院时间的风险较高的患者.
科学领域:
- 在瘤学瘤学.
- 老年病的医生 老年病的医生
- 康复医学 康复医学 康复医学
背景情况:
- 结肠直肠癌手术往往会导致长时间停留 (pLOS),增加并发症风险.
- 术前运动显示有好处,但对pLOS的基线身体功能的预测作用还未得到充分研究.
研究的目的:
- 调查手术前的身体功能是否可以预测结直肠癌患者的pLOS.
- 确定预测延长住院时间的关键身体功能指标.
主要方法:
- 分析了7个队列中的459名患者,使用后勤回归和ROC曲线.
- 评估各种身体功能测试,包括6分钟步行测试 (6MWT),手握强度和坐立测试.
- 包括人口,临床和患者报告的结果变量.
主要成果:
- 结直肠瘤部位显著增加了pLOS的风险 (OR 2.7).
- 每增加20米的6MWT距离,就会使pLOS风险降低9%.
- 一个6MWT切线431m预测pLOS的准确率为70% (AUC为0.71).
结论:
- 结直肠瘤的位置和6MWT的表现较差是PLOS的显著预测因素.
- 6MWT是一个有价值的查工具,用于识别患有pLOS风险的结直肠癌患者.
- 在手术前路径中实施6MWT可以帮助风险分层和风险管理.
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