在麻醉师,患者和行政数据之间比较查尔森并发症指数得分:一项前性观察研究
Eike J Röhrig1, Henning Schenkat2, Nadine Hochhausen1
1Department of Anesthesiology, Medical Faculty, RWTH Aachen University, 52074 Aachen, Germany.
Journal of clinical medicine
|April 9, 2024
概括
来自患者自我报告,医生评估和行政数据的查尔森并发症指数 (CCI) 在预测住院死亡率方面表现出类似的准确性. 这一发现有助于在使用各种数据源进行外科手术期间风险评估.
科学领域:
- 医学研究 医学研究
- 医疗信息学 医疗信息学
- 临床流行病学临床流行病学
背景情况:
- 伴随性疾病显著影响术后风险评估.
- 来自各种数据源的查尔森并发症指数 (CCI) 的比较准确性仍然不清楚.
- 了解这些差异对于准确的患者风险分层至关重要.
研究的目的:
- 为了比较来自患者自我报告,医生评估和医院行政数据的CCI的准确性.
- 评估不同CCI来源对住院死亡率的预测性能.
- 在术后风险评估中提供最佳实践信息.
主要方法:
- 一项前性观察性研究,涉及1007名患者.
- 基于患者自我报告,医生评估和医院行政数据计算的CCI的比较.
- 统计分析包括kappa统计数据用于同意和AUROC用于死亡率预测.
主要成果:
- 在患者自我报告/医生评估和行政数据 (kappa 0.24-0.28) 之间观察到公平一致.
- 医生的评估和患者的自我报告显示出最好的协议 (kappa 0.33).
- 这三个CCI来源都显示出对住院死亡率的可比预测性能 (AUROC ~0.80-0.86).
结论:
- 来自患者自我报告,医生评估和行政数据的CCI在预测术后住院死亡率方面表现出类似的有效性.
- 这些发现表明,在进行外科手术期间风险评估的数据源选择方面有灵活性.
- 进一步的研究可能会探索多个数据源的集成,以提高预测准确度.
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