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评估生理能力和外科应激评分系统,用于预测腹部手术后的并发症:跨越2004年至2022年的元分析

Tian-Shu Pang¹, Li-Ping Cao²

¹Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, Zhejiang Province, China.

World journal of gastrointestinal surgery

|February 8, 2024

概括

生理能力和外科应激估计 (E-PASS) 评分准确预测腹部手术中的术后并发症. 较高的E-PASS分数,特别是综合风险分数 (CRS),与增加的发病率和死亡率有关,有助于进行外科风险评估.

科学领域:

手术结果研究研究
在外科手术中的风险分层.
临床预测模型临床预测模型

背景情况:

手术后的并发症是腹部手术中的一个重要问题.
有效的风险评估工具对于改善患者的治疗结果至关重要.
电子通行证 (E-PASS) 评分系统旨在评估手术风险.

研究的目的:

评估E-PASS评分系统在预测腹部手术后术后并发症方面的有效性.
分析E-PASS组件与手术结果之间的关联.
确定E-PASS对发病率和死亡率的预测值.

主要方法:

17项相关研究的系统审查和元分析.
数据提取包括手术前风险评分 (PRS),手术压力评分 (SSS),综合风险评分 (CRS) 和并发症.
森林地块和千平方测试被用于分析连续和二进制变量,评估异质性.

主要成果:

较高的E-PASS分数 (PRS,SSS,CRS) 与术后并发症有显著的相关性.
高CRS是增加术后并发症率 (OR: 3.01) 和死亡率 (OR: 15.49) 的危险因素.
排除低质量的研究证实了结果的有效性;样本大小和年龄可能会影响CRS异质性.

结论:

E-PASS评分系统准确预测腹部手术中的术后并发症,发病率和死亡率.
升高的PRS,SSS和CRS得分始终与不良结果相关.
电子通行证系统显示了在临床风险评估中广泛采用的潜力.

关键词:

复杂性复杂性复杂性综合风险评分综合风险评分评估生理能力和手术压力评分系统的估计.手术前的风险评分.手术压力评分 (surgical stress score) 是指手术压力评分 (surgical stress score) 是指手术压力评分 (surgical stress score) 是指手术压力评分 (surgical stress score) 是指手术压力评分.

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