经手术后恶心和吐的风险估计:基于治疗点胃超声波的诺米克图的开发和验证
Huohu Zhong1, Yingchao Liu2, Piaopiao Liu1
1Department of Ultrasound Medicine, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.
BMC anesthesiology
|November 30, 2023
概括
一个新的诺米图预测了急诊手术患者的手术后恶心和吐 (PONV). 结合临床数据和胃超声波,它提供了PONV的快速风险评估.
科学领域:
- 麻醉学和外科手术期间的医学.
- 医疗成像医学成像
- 预测建模预测建模
背景情况:
- 手术后恶心和吐 (PONV) 是紧急手术后的常见并发症.
- 准确预测PONV对于有效的患者管理至关重要.
- 当前的预测方法在紧急情况下可能缺乏精度.
研究的目的:
- 开发和验证用于预测在接受紧急手术的成年患者中PONV的诺姆图.
- 整合 point-of-care 胃超声波与临床数据,以提高 PONV 预测.
- 提供一个工具,用于快速和视觉风险评估PONV.
主要方法:
- 从236名接受紧急手术的成年患者收集前性数据.
- 使用通过单变量和多变量逻辑回归识别的独立风险因素开发名图.
- 通过使用ROC曲线,校准曲线,DCA和CIC,验证名图的预测效率,准确性和临床可行性.
主要成果:
- 女性性别,PONV病史,偏头痛病史和胃横截面区域被确定为PONV的独立风险因素.
- 命名图表显示了训练队列中的0.832个和验证队列中的0.827个显著的一致性指数.
- 诺米图表表现出非常适合的校准曲线,并显示出高临床可行性.
结论:
- 开发的诺米图有效地预测了在接受紧急手术的成年患者中PONV.
- 诺米图与胃超声波相结合,为快速PONV风险评估提供了直观和视觉指南.
- 这种工具可以帮助临床医生优化PONV的外科治疗和管理策略.
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