胸部X射线得分基线预测胸部手术后低风险老年患者的持续氧疗失败
Tongxin Li1,2, Weina Li1, Fengxi Chen3
1Department of Thoracic Surgery, First Affiliated Hospital of the Army Medical University, Army Medical University (Third Military Medical University), Chongqing, China.
肺的放射性评估 (RALE) 比Brixia得分更好地预测老年胸部手术患者的持续氧气治疗失败. 这种非侵入性方法有助于监测肺损伤,并指导氧疗决策.
科学领域:
- 肺部医学 肺部医学
- 胸部外科手术 胸部外科手术
- 放射学 放射学是一门学科.
背景情况:
- 手术后肺部并发症 (PPCs) 需要有效的放射性评估来诊断和氧气治疗指导.
- 肺的放射性评估 (RALE) 和布里克西亚评分是疾病严重程度的既定措施.
- 在接受胸部手术的低风险老年患者中,这些得分的预测价值存在有限的研究.
研究的目的:
- 评估RALE和Brixia得分在预测持续氧疗 (COT) 治疗失败方面的有效性.
- 评估这些评分在胸部手术后70岁以上的患者,专注于低风险个体.
主要方法:
- 一项对70岁以上经过胸部手术并从2019年1月至2021年12月接受COT的患者的回顾性研究.
- 收集床边胸部X射线,RALE得分,布里克西亚得分和患者数据.
- 统计分析包括单变量,多变量和1:2匹配,使用接收器操作特征 (ROC) 曲线来确定预测性能.
主要成果:
- 在242名患者中,19名 (7.9%) 患有COT衰竭,与食道癌手术和胸腔切除相关.
- 手术方法和RALE得分被确定为COT失败的独立风险因素.
- 在1:2匹配后,RALE得分显示出更高的预测准确度 (AUC 0.710) 与Brixia得分 (AUC 0.764) 相比,对1:2匹配后COT失败的预测准确度更高.
结论:
- 与Brixia得分相比,RALE得分是老年低风险胸部手术患者中COT衰竭的更有效预测指标.
- 雷尔为评估术后肺损伤和优化氧气治疗提供了一个简单的,非侵入性的工具.
- 需要进一步的研究来验证RALE评分在各种临床环境和患者群体中的适用性.
更多相关视频
04:20Integration of Brain Tissue Saturation Monitoring in Cardiopulmonary Exercise Testing in Patients with Heart Failure
Published on: October 1, 2019
08:35Oxygenation-sensitive Cardiac MRI with Vasoactive Breathing Maneuvers for the Non-invasive Assessment of Coronary Microvascular Dysfunction
Published on: August 17, 2022
相关概念视频
Pneumothorax-II
Clinical Manifestations:
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
Medical History
Respiratory Assessment: Purpose and Indications
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Endoscopic Studies II: Thoracocentesis
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Assessment of Respiration
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Chronic Obstructive Pulmonary Disease-I: Introduction
