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高风险人群在 Ostomy 施工后无计划使用医疗保健
Hannah Ficarino Sheffer1, Madi Bruce1, Chandler McLeod1
1Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
患有糖尿病,吸烟史和慢性病的新近骨髓切割患者面临着最高的非计划医疗利用率 (UPHU). 识别这些风险因素可以改善骨髓切割护理,减少住院次数.
科学领域:
- 医学研究 医学研究
- 机器学习在医疗保健中的应用.
- 外科手术的结果
背景情况:
- 在新口切除的患者中观察到高率的非计划性医疗利用率 (UPHU).
- 预测和缓解UPHU对于改善患者结果和管理医疗保健资源至关重要.
研究的目的:
- 通过机器学习,识别新的骨髓瘤患者中导致UPHU的关键因素.
- 根据患者的并发症和生活方式因素对UPHU的风险进行分层.
主要方法:
- 在一个机构对318名新的骨髓瘤患者 (2018-2021) 进行了回顾性研究.
- 使用分类树机器学习模型来确定重要的UPHU预测因素.
- 主要结果测量为UPHU在出院后60天内.
主要成果:
- 30.8%的患者在出院后60天内经历了UPHU.
- 糖尿病被确定为UPHU最重要的预测因素 (56%的UPHU率).
- 吸烟史,特别是糖尿病患者 (77%的UPHU) 和慢性病进一步增加了UPHU风险,在组合组中达到86%.
结论:
- 糖尿病,吸烟史和慢性脏病是UPHU在骨架构后的关键风险因素.
- 针对高风险口腔病患者,特别是患有这些并发症的患者,有必要进行有针对性的干预.
- 机器学习模型可以有效地识别手术群体中UPHU的复杂风险概况.
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