在多创伤患者中预测生殖尿路损伤 - - GUIPP评分系统的开发
Olivia Mair1, Michael Müller1, Philipp Rittstieg1
1Department of Trauma Surgery, School of Medicine, Klinikum rechts der Isar, Technical University of Munich, 81675 Munich, Germany.
Journal of clinical medicine
|December 9, 2023
概括
紧急医生现在可以使用多创伤患者的生殖尿路损伤 (GUIPP) 评分来帮助诊断严重受伤患者的生殖尿路损伤 (GUIs). 这种工具有助于早期检测,防止错过或延迟诊断的长期并发症.
科学领域:
- 创伤外科 手术 创伤外科
- 紧急医疗 紧急医疗
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 在严重受伤的患者中,生殖尿路损伤 (GUIs) 经常被忽视.
- 延迟诊断GUI可能会导致严重的长期并发症.
- 紧急医生需要可靠的诊断辅助.
研究的目的:
- 开发和验证一个评分系统,用于诊断严重受伤患者的GUI.
- 帮助急诊医生识别高风险GUI患者.
- 为了减少错过或延迟GUI诊断的发生率.
主要方法:
- 使用了来自DGU® (2015-2021) 创伤登记册的数据.
- 包括德国,奥地利或瑞士16岁以上的严重受伤患者 (ISS ≥16岁).
- 在对预测因素的单变量分析后,开发了使用二进制逻辑回归的评分系统.
主要成果:
- 总共有70,467名患者被分析,其中6.8%维持GUI.
- 预测GUI的预测因素包括男性性别,摩托车事故,60岁以下的年龄,多个身体区域的伤害和严重的骨盆腰带伤害.
- 在多创伤患者 (GUIPP) 的新型生殖尿路损伤得分表现出良好的有效性,AUC为0.722.
结论:
- 在严重受伤的患者中诊断GUI仍然具有挑战性,但对于预防不良结果至关重要.
- GUIPP得分可以促进早期诊断步骤,以缓解延迟或错过的GUI诊断.
- 一个GUIPP得分为9或更高的强烈表明了GUI的可能性.
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