评分工具用于预测儿童创伤后早期视频辅助胸腔镜手术 (VATS) 的需求
Brian Kazempoor1, Jeffry Nahmias1, Isabel Clark1
1Department of Surgery, University of California, Irvine, Orange, CA, USA.
World journal of surgery
|August 31, 2023
概括
一个新的VATS-In-Pediatrics (VIP) 评分预测了儿科创伤患者早期视频辅助胸腔镜手术 (VATS) 的需求. 这种经过验证的工具有助于在入院72小时内为高风险病例做好准备.
科学领域:
- 儿童创伤外科手术
- 手术结果研究研究.
- 临床决策支持工具
背景情况:
- 目前还没有确立的工具来对视频辅助胸腔镜手术 (VATS) 的儿科创伤患者进行分层.
- 在儿科创伤中预测早期VATS的需要是具有挑战性的.
研究的目的:
- 为了开发和验证一个新的评分工具,VATS-In-Pediatrics (VIP) 评分.
- 预测儿童创伤患者早期 (在72小时内) 需要VATS的需求.
主要方法:
- 利用了2017-2020年儿科创伤质量改善计划数据库.
- 在衍生集 (2017-2019) 上使用后勤回归开发了VIP分数.
- 在单独的验证集 (2020) 上使用接收器操作特征 (AROC) 曲线下的区域验证了VIP得分.
主要成果:
- 确定了早期VATS的8个独立预测因素,形成了VIP评分 (0-9范围).
- 在导出和验证集中实现了高预测准确度,AROC为0.91.
- 显示了VIP分数和VATS率之间的明显相关性,较高的分数表明可能性增加.
结论:
- "VIP评分"是一个新的,经过验证的工具,用于预测儿科创伤中的早期VATS.
- 这一分数可以帮助医疗保健系统为需要VATS的高风险儿科创伤入院做好准备.
- 建议进行进一步的前性研究,以评估VIP评分对临床结果的影响.
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