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开发和验证一种名图,用于早期预测儿科内肠切的必要性
Yuan-Yang Yu1, Jia-Jie Zhang1, Ya-Ting Xu1
1Department of Pediatric Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Frontiers in pediatrics
|May 22, 2024
概括
一个新的名图有助于预测有必要进行肠切除,在儿童内和怀疑缩后未能减少空气阴道风湿. 这种工具有助于为儿科内肠置病例做出手术决策.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 医疗成像医学成像
背景情况:
- 肠接是儿童常见的手术紧急情况.
- 肠死是需要手术切除的严重并发症.
- 预测在减少失败后需要切除的临床意义重大.
研究的目的:
- 开发和验证用于小儿科内肠切除的预测性名录在怀疑肠死症的小儿内肠切除.
- 改善在空气阴道减少失败的情况下的临床决策.
主要方法:
- 追溯招募患有肠接和未能减少气囊的儿童.
- 后勤回归分析以确定预测因素.
- 使用培训和验证集 (3:1比率) 开发和验证一个名ogram.
- 使用校准曲线和C指数对名图的评估.
主要成果:
- 总共有547名儿童被分析;133人需要肠切除.
- 确定了四个变量:症状持续时间,C反应蛋白,白细胞和.
- 开发的诺米图表实现了0.871的一致性指数 (95% CI:0.834-0.908).
结论:
- 一个经过验证的诺姆图有效地预测了儿科内肠切除在怀疑死亡的儿科内肠切除.
- 诺姆图可以帮助临床医生在减少失败后管理患有肠塞的儿童.
- 该工具支持知情的外科决定,可能减少不必要的切除.
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