一个食管切除手术基于Apgar分数的诺摩图 - 一个基于风险的术后分拣系统:一期II随机试验
Xiaohan Chen1, Yong Xi1, Chengbin Lin1
1Department of Thoracic Surgery, The Affiliated Lihuili Hospital of Ningbo University, Ningbo, China.
Journal of thoracic disease
|May 13, 2024
概括
使用食道切除术外科阿巴格评分 (eSAS) 的新型诺摩图有效预测术后风险. 这种基于eSAS的nomogram分类系统减少了食道切除术患者的并发症和住院时间.
科学领域:
- 手术瘤学手术瘤学
- 风险分层是指风险的分层.
- 临床决策支持 临床决策支持
背景情况:
- 消化管切除手术Apgar评分 (eSAS) 可以预测术后并发症.
- 之前的工作开发了一个基于eSAS的图形名录,用于预测主要发病率.
- 这项研究评估了基于eSAS的名谱作为术后基于风险的分拣系统.
研究的目的:
- 评估使用基于eSAS的诺米克图模型作为术后基于风险的分拣系统对食道切除患者的好处.
- 为了比较用诺莫图谱管理的患者和通过临床经验管理的患者之间的术后结果.
主要方法:
- 119名食道癌患者被随机分配到名录组 (NG) 和对照组 (CG).
- 该NG使用名图进行风险分层,将高风险患者送入ICU.
- CG依赖外科医生的临床经验进行风险估计.
主要成果:
- 术后并发症在NG (24.1%) 与CG (49.2%) 相比显著较低 (P=0.008).
- 在NG (20.7%) 与CG (37.7%) (P=0.042) 相比,肺炎发病率也较低.
- 该NG的医院住院时间中位数比CG (16天) 短 (14天) (P=0.041).
结论:
- 基于eSAS的诺米图有效地作为食道切除术的分类系统发挥作用.
- 这种系统可以减少术后并发症,缩短住院时间.
- 基于eSAS的nomogram选不会增加医院的成本.
相关概念视频
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
297
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
297
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
77
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...
77
01:28Esophageal Perforation-II: Clinical Manifestations and Management
56
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
56
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
106
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
106
01:28Esophageal Varices-II: Clinical Features and Management
60
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
60
01:26Endoscopic Studies II: Thoracocentesis
252
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
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...
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...
252