风险分析指数是肺癌切除术后结果的独立预测指标
Andy Chao Hsuan Lee1, Maria Lucia L Madariaga1, Sang Mee Lee2
1Section of Thoracic Surgery, Department of Surgery, University of Chicago, Chicago, Illinois, United States of America.
PloS one
|May 16, 2024
概括
风险分析指数 (RAI) 在预测肺癌手术术术后结果方面显示出中等准确性,类似于ASA和CCI等现有工具. 不推用于个人患者风险评估的例行使用.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术瘤学手术瘤学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 风险分析指数 (RAI) 是一种利用赤字累积模型的脆弱性评估工具.
- 它在肺癌切除后预测术后结果的实用性需要验证.
研究的目的:
- 评估风险分析指数 (RAI) 与肺癌切除术患者的术后结果之间的相关性.
- 为了将RAI的预测性能与已建立的风险指数进行比较:美国麻醉学会 (ASA) 和查尔森并发症指数 (CCI).
主要方法:
- 使用胸腔外科医生协会 (STS) 数据库 (2018-2020) 进行的一项回顾性观察研究.
- 使用后勤回归模型来检查RAI风险类别与术后并发症和行政结果之间的关联.
- 使用接收器运行特征曲线 (AUC) 下面面积的分析,将RAI与ASA和CCI进行比较.
主要成果:
- 在STS数据库中的22,848名患者中,78%的RAI可以计算出来.
- 增加RAI得分与更高的术后不良结果的可能性显著相关.
- 对于死亡率和排放位置,RAI显示出"良好的"AUC值,但对于其他结果显示出"合理的"AUC值,其表现与ASA和CCI相似.
结论:
- 风险分析指数 (RAI) 与肺癌切除后的临床和管理结果有关.
- 作为外科手术风险预测器,RAI的准确性是适度的,与ASA和CCI可比.
- 不建议在重症肺切除中常规使用RAI进行个人风险评估.
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