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儿童的外体摄入:定义一个名图来预测手术或内镜干预的定义

Cecilia Mantegazza¹, Simona Ferraro², Davide Biganzoli³

¹Pediatric Department, "Vittore Buzzi" Children's Hospital, Milan, Italy.

Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver

|August 16, 2023

概括

这项研究创建了一个名图表来预测外体摄入的儿童是否需要紧急手术或内镜检查. 这种工具有助于医生早期识别高风险病例,防止并发症.

科学领域:

儿科胃肠病学儿科胃肠病学
医学诊断医学诊断医学诊断
临床预测建模临床预测建模

背景情况:

儿童中外体摄入 (FBI) 是一个常见的紧急情况.
及时识别和干预对于防止不良结果至关重要.
当前的诊断方法可能并不总是预测需要紧急程序.

研究的目的:

开发和验证用于小儿FBI手术或内镜干预的预测性名录.
为了利用患者病史和临床数据进行风险分层.
为临床医生提供一种工具,用于早期识别需要紧急干预的儿童.

主要方法:

对5864名被联邦调查局录取的儿童 (2015-2020年) 的回顾性多中心病例系列分析.
使用后勤回归模型来确定干预的预测因素.
基于对临床参数的多变量分析,开发了一个名图.

主要成果:

干预的重要预测因素包括异物类型 (例如,磁盘电池,磁铁),先前存在的疾病,唾液流出,消,吐,背脊疼痛和血.
开发的诺米图表表现出良好的预测能力,AUC为0.77.
流口水 (OR 10.91) 和背骨疼痛 (OR 5.59) 等因素与干预的需要密切相关.

结论:

这项研究提出了第一个用于预测儿科外体摄入中干预需求的诺姆图.
这种工具有助于临床医生识别需要迅速手术或内镜手术的儿童.
随着名图的帮助,早期识别可以帮助预防儿童FBI案件的严重并发症.

关键词:

应急部门的紧急情况部门.需要进行手术或内镜切除.儿童物品或食物摄入.评分系统评分系统

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