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对三种经过验证的并发症指数进行评估,以预测假肢泌尿外科手术后的短期术后结果

Michael K Tram¹, Nikolas Moring¹, Paul J Feustel²

¹Department of Urology, Albany Medical Center, 25 Hackett Blvd, Albany, NY, 12208, USA.

International urology and nephrology

|October 17, 2023

概括

常用的并发症指数,如查尔森并发症指数 (CCI) 和埃利克沙瑟/范瓦拉文指数 (VWI),在充气阴茎假体 (IPP) 和人工尿道 (AUS) 手术后,预测重新入院和并发症的可能性很低.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
医疗保健服务研究医疗服务研究
医疗信息学医疗信息学

背景情况:

伴随性疾病指数经常用于评估患者的健康状况.
查尔森并发症指数 (CCI),埃利克沙瑟/范瓦拉文指数 (VWI) 和修改的脆弱指数 (mFI) 是常见的指数.
它们在泌尿外科假肢手术后预测结果的实用性尚未得到充分证实.

研究的目的:

评估CCI,VWI和mFI在术后再入院和并发症方面的预测性表现.
具体评估充气阴茎假体 (IPP) 和人工泌尿关节 (AUS) 放置后的结果.

主要方法:

对接受IPP或AUS安置的成年男性进行回顾性分析 (2010-2015/2011).
计算所有患者的CCI,VWI和mFI得分.
使用接收器操作特征曲线,对30天的再入院和90天的并发症进行预测准确度 (曲线下的区域) 的比较.

主要成果:

这三个指数都显示了IPP和AUS队列中所有评估结果的预测能力较差 (AUC<0.70).
对于术后并发症的VWI,CCI和mFI之间的预测性表现没有观察到显著差异.

结论:

现有的并发症指数 (CCI,VWI,mFI) 不足以预测IPP和AUS手术后的再入院和并发症.
需要开发更好的并发症指数,以便在这些特定患者群体中进行风险分层.

关键词:

人工泌尿关节人工泌尿关节伴随性疾病伴随性疾病脆弱性脆弱性脆弱性阴茎假体是一种阴茎假体.

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