在土耳其人口中验证胸部外科手术评分系统 (Thoracoscore)
Hale Kefeli Celik1, Burcin Celik2
1Department of Anaesthesiology and Reanimation, Samsun Education and Research Hospital, Samsun, Turkey.
概括
这项研究验证了Thoracoscore用于预测土耳其胸部手术死亡率. 虽然显示出足够的歧视性,但其敏感性和特异性有限,这表明需要进行更大规模的多中心研究.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术结果研究研究
- 医学中的预测分析.
背景情况:
- 胸腔评分是预测胸部手术后死亡率的一种工具.
- 在不同人群中验证对于准确的风险评估至关重要.
- 需要土耳其人口数据来评估Thoracoscore的适用性.
研究的目的:
- 在土耳其人群中验证胸腔评分.
- 评估Thoracoscore在预测30天和90天死亡率方面的准确性.
- 评估Thoracoscore对发病率和死亡率预测的敏感性和特异性.
主要方法:
- 在2015年1月至2022年6月期间进行的观察性研究.
- 包括745名在全身麻醉下进行胸部手术的患者.
- 使用在线工具计算胸腔评分;评估AUC,灵敏度和特异性.
主要成果:
- 该研究包括745名患者 (67.5%是男性,平均年龄为57.23岁);99.5%接受了选择性手术.
- 在56.9%的病例中,恶性病是指标;30天和90天的死亡率分别为1.9%和4.8%.
- 胸腔评分显示85.7%的灵敏度和68.7%的特异性为30天死亡率;对发病率的敏感性/特异性有限.
结论:
- 胸腔评分显示了足够的区分能力 (AUC),但敏感性和特异性有限.
- 需要对更大患者队列进行进一步的多中心研究.
- 该研究强调了需要对手术风险得分进行特定人群验证的必要性.
相关概念视频
01:26Endoscopic Studies II: Thoracocentesis
304
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
304
01:15Thoracic Aorta
519
The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
519
01:17The Thoracic Cage: Sternum
2.4K
The thoracic or rib cage forms the body's thorax (chest) portion. Its primary function in the body is to protect vital organs in the thoracic cavity, such as the heart and the lungs. It consists of 12 pairs of ribs with their costal cartilages and the sternum. The ribs are anchored posteriorly to the 12 thoracic vertebrae (T1-T12).
The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid...
The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid...
2.4K
01:24Pressure Relationships in Thoracic Cavity
2.5K
Breathing, otherwise known as pulmonary ventilation, is the process of air movement into and out of the lungs. The main mechanisms propelling pulmonary ventilation are atmospheric pressure (Patm), intra-pulmonary (Ppul ) or intra-alveolar pressure (Palv) within the alveoli, and intrapleural pressure (Pip) within the pleural cavity.
Breathing Mechanisms
Both intra-alveolar and intrapleural pressures rely on specific lung properties. The ability to breathe—allowing air to enter the lungs...
Breathing Mechanisms
Both intra-alveolar and intrapleural pressures rely on specific lung properties. The ability to breathe—allowing air to enter the lungs...
2.5K
01:25Muscles of the Thorax
1.9K
The thorax muscles are central to the body's respiration and provide essential support and movement for the upper body. They are intricately designed to facilitate the complex breathing process while also contributing to the structural integrity and mobility of the chest and upper limbs.
The diaphragm is at the core of thoracic musculature, the primary muscle involved in breathing. This expansive, dome-shaped muscle marks the division between the thoracic and abdominal cavities. It...
The diaphragm is at the core of thoracic musculature, the primary muscle involved in breathing. This expansive, dome-shaped muscle marks the division between the thoracic and abdominal cavities. It...
1.9K
01:30Endoscopic Studies I: Bronchoscopy and Thoracoscopy
229
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
229