开发一个名谱来预测基于前性队列的负面术后行为变化
Lijing Li1, Jianmin Zhang2, Jiayi Li3
1Department of Anesthesiology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, No. 56 South Lishi Road, Xicheng District, Beijing, 100045, China.
患有较高麻醉前行为评分,大脑脱和术后疼痛的儿童在手术后更有可能经历负面的行为变化. 预测模型和名图可以识别有风险的儿童,以改善结果.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 行为科学 行为科学
- 临床预测建模临床预测建模
背景情况:
- 儿童的负面术后行为变化 (NPOBC) 与不良的术后结果有关.
- 预测NPOBC对于改善儿科外科护理至关重要.
- 需要一个NPOBC的预测模型.
研究的目的:
- 确定儿童NPOBC的危险因素.
- 开发一个名谱来预测术后第三天的NPOBC.
- 验证名ogram的预测准确性.
主要方法:
- 对192名接受全身麻醉的儿童 (2-12岁) 进行前性观察研究.
- 使用医院后行为问卷 (PHBQ) 评估NPOBC.
- 使用后勤回归来识别风险因素并开发一个内部验证的nomogram.
主要成果:
- 44.8%的儿童在术后第3天出现了NPOBC.
- 独立的NPOBC预测因素包括儿科麻醉行为 (PAB) 评分,大脑脱和术后疼痛评分.
- 开发的诺米图表显示出良好的区分 (AUC:0.762) 和临床实用性.
结论:
- 较高的PAB分数,大脑脱和术后疼痛预测了儿童的NPOBC.
- 一个经过验证的名图可以帮助个体患者评估和风险分层.
- 诺米图可以帮助识别高风险群体并改善患者的预后.
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