在急性囊切除术后估计术后并发症风险时,POSPOM得分的重要性
Mathieu Blachier1, Haixia Ye2, Jean-Alexandre Long3
1Service d'urologie, CHU Grenoble-Alpes, CS 10217, 38043 Grenoble cedex 9, France.
The French journal of urology
|March 9, 2024
概括
POSPOM得分有效预测膀癌囊切除术后的90天死亡率,比其他得分更准确. 然而,它在预测术后发病率方面存在局限性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
- 临床结果研究研究
背景情况:
- 鉴定癌症囊切除术后有风险的患者对于改善结果至关重要.
- 在一般泌尿外科手术中,POSPOM评分是估计术后死亡率的验证工具.
- 这项研究旨在验证POSPOM得分,特别是用于预测术后发病率和死亡率.
研究的目的:
- 为了验证POSPOM得分用于预测严重的术后发病率 (Clavien-Dindo等级≥3) 和囊切除术后的90天死亡率.
- 为了比较POSPOM得分的预测性能与其他已建立的得分,如查尔森并发症指数 (CCI) 和ASA得分.
主要方法:
- 在2010年至2019年期间,对167名因膀癌而接受囊切除术的患者进行了回顾性分析.
- 主要目标:验证POSPOM用于严重发病率 (CDC≥3) 和90天死亡率.
- 二级目标:与CCI和ASA分数进行比较.
主要成果:
- 26%的患者患有严重发病 (CDC≥3),8.4%的患者在90天内死亡.
- POSPOM得分与90天死亡率和输血需要有显著的相关性.
- 与CCI (AUC=0.812) 和ASA (AUC=0.739) 相比,POSPOM在死亡率预测 (AUC=0.886) 中表现出更高的预后值,但在发病率方面并非如此.
结论:
- POSPOM分数是囊切除术后90天死亡率的强有力的预测指标.
- 该POSPOM得分在准确预测囊切除术后的术后发病率方面存在局限性.
相关概念视频
Appendicitis-II: Diagnostic Studies and Management
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
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...
Cardiomyopathy VII: Pre and Post Operative Nursing Management
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...


