对于急性结肠分歧炎的三种最常用的分类之间的差异是什么? 一个比较的多中心研究
Camilla Cremonini1, Alan Biloslavo, Virna Robustelli
1From the General and Emergency Surgery Unit (C.C., S.M., S.S., F.C., M.C., D.T.), University of Pisa, Pisa, Italy; General Surgery Unit (A.B., M.M.), Cattinara University Hospital, Trieste, Italy; General Surgery Unit (V.R., S.G.), S. Jacopo Hospital, Pistoia, Italy; and General and Emergency Surgery (S.R.D.M.), San Filippo Neri Hospital, Rome, Italy.
美国创伤外科协会 (AAST),世界急诊外科协会 (WSES) 和修改后的Hinchey分类也类似地预测了急性左侧结肠分泌体炎的结果. AAST和修改后的Hinchey最好预测需要手术和严重并发症的情况.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 流行病学 流行病学
背景情况:
- 急性左侧结肠膜炎是一种常见的手术紧急情况.
- 目前的分类 (修改后的Hinchey,AAST,WSES) 是基于放射学发现的.
- 本研究评估了这些分类的预测等价性.
研究的目的:
- 为了比较修改后的Hinchey,AAST和WSES分类在预测急性左侧结肠分泌体炎的结果中的有效性.
- 为了确定哪个分类系统是最准确的手术决策.
主要方法:
- 对597名患者 (2014-2021) 的回顾性研究.
- 用修改的Hinchey,AAST和WSES分类来对患者进行分级.
- 回归和ROC曲线分析比较了干预预测,并发症和死亡率.
主要成果:
- 所有分类都显示了干预率,发病率和再干预率的增加,分数更高.
- AAST和修改后的Hinchey显示出对干预需要的优异预测 (AUC为0.84和0.81).
- 修改后的Hinchey和WSES对主要并发症的预测更好 (AUC为0.75和0.70).
结论:
- 修改后的Hinchey,AAST和WSES分类在预测并发症,重新干预和死亡率方面表现相似.
- AAST和修改后的Hinchey分类最适合预测需要进行手术和分炎的主要并发症.
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