30多年后的POSSUM:评分系统今天对于结肠直肠手术仍然相关吗?
Florian Bürtin1, Tobias Ludwig1, Matthias Leuchter2
1Department of General, Visceral, Thoracic, Vascular and Transplantation Surgery, University Medical Center Rostock, 18057 Rostock, Germany.
Journal of clinical medicine
|January 11, 2024
概括
对死亡率和发病率 (POSSUM) 的统计的生理和手术严重性评分及其变化过度预测了结直肠手术患者的结果. 虽然子分数显示出相关性,但系统需要修订以提高临床可靠性.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术结果研究研究.
- 医学评分系统 医学评分系统
背景情况:
- 死亡率和发病率 (POSSUM) 的生理和手术严重性得分及其变体 (波茨斯-POSSUM,结肠直肠-POSSUM) 用于预测外科手术后的并发症和一般手术中的死亡率.
- 这些评分系统评估患者的健康状况和外科手术的程度,以估计风险.
研究的目的:
- 在两个独立的结直肠癌手术队列中评估POSSUM,PORTSMOUTH-POSSUM和结直肠-POSSUM的临床意义.
- 评估这些评分系统的预测准确性,特别是在接受腹腔镜手术的患者中.
主要方法:
- 每个患者的个体生理分数 (PS) 和手术严重程度分数 (OS) 都被分配给了每个患者.
- 使用后勤回归分析来确定子得分与术后并发症和死亡率的概率之间的相关性.
主要成果:
- 所有三个POSSUM评分系统 (POSSUM,P-POSSUM,CR-POSSUM) 在结直肠手术患者的住院死亡率预测显著过高.
- 该POSSUM得分有效地识别了患有道泄漏,败血症和再手术风险较高的患者.
- 后勤回归证实POSSUM分数与术后并发症和死亡率的可能性之间存在强烈的相关性.
结论:
- 目前的POSSUM评分系统在当代结直肠外科手术中,对估计术后并发症和死亡率的准确性不足.
- 经过验证的子评分表明,修改现有的评分系统可以提高其可靠性和临床实用性.
更多相关视频
06:46Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
Published on: September 27, 2024
290
09:11Systematic Scoring Analysis for Intestinal Inflammation in a Murine Dextran Sodium Sulfate-Induced Colitis Model
Published on: February 14, 2021
9.4K
相关概念视频
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
88
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
88
01:21Inflammatory Bowel Disease V: Surgical Management
147
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
147