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操作干预的预测模型的验证后的腹部创伤在儿童与模两可的计算机断层扫描结果:一个多机构研究

Abdulraouf Lamoshi^1,2, Raymond Lay³, Derek Wakeman³

¹Cohen Children's Medical Center, New Hyde Park, NY, USA. raofdr@gmail.com.

Pediatric surgery international

|January 25, 2024

概括

这项研究验证了儿科粗腹部创伤 (BAT) 手术的预测模型. 自由液体和固体器官损伤等关键因素可以准确地识别需要手术干预的儿童.

科学领域:

儿科手术儿科手术
创伤管理创伤管理
放射学放射学是一门学科.

背景情况:

此前已经开发出了儿科突发腹部创伤 (BAT) 手术的初步预测模型.
这项研究旨在在多个机构中验证该模型的预测因素.

研究的目的:

验证临床和放射学预测模型用于小儿BAT患者的手术干预.
确定与患有BAT的儿童手术需要相关的关键因素.

主要方法:

从五个创伤中心 (2011-2020) 获得BAT的儿科患者 (18岁以下) 的回顾性图表审查.
排除患有肺膜或血液动力学不稳定的患者.
使用费舍尔精确测试和后勤回归来评估风险因素的统计分析:腹壁伤 (AWB),腹部疼痛/疼痛 (APT),胸椎骨折 (TLF),自由液体 (FF) 和固体器官损伤 (SOI).

主要成果:

包括726名儿科BAT患者;8.8%需要手术.
TLF,APT,FF和SOI与手术需要有显著的相关性 (p<0.01).
预测模型的AUC达到0.80. 对于机动车辆碰撞 (MVC),FF,SOI和TLF是显著的预测因素 (AUC为0.87).

结论:

一个经验证的临床和放射学预测规则准确地识别了需要手术的儿科BAT患者.
自由液体 (FF),固体器官损伤 (SOI) 和胸椎骨折 (TLF) 是预测手术干预的最关键因素.

关键词:

的腹部损伤的腹部损伤图像扫描 (CT) 扫描是一种扫描.孩子孩子孩子孩子预测模型是一个预测模型.验证验证验证验证

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