相关实验视频
Updated: Jun 23, 2025
12:10
Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
7.7K
生理能力和手术压力的估计 (E-PASS) 预测了激进囊切除术后的术后并发症
Mehmet Vehbi Kayra1, Mehmet Eflatun Deniz2, Cevahir Ozer2
1Department of Urology, Faculty of Medicine, Baskent University Adana Dr. Turgut Noyan Application and Research Center, Dadaloglu Mh Serinevler 2591 Sk No: 4/A, 01250, Yuregir, Adana, Turkey. vehbikayra@hotmail.com.
International urology and nephrology
|June 25, 2024
概括
通过E-PASS系统,可以有效地预测激进囊切除术 (RC) 后的术后并发症. 这种工具有助于识别高风险患者,以获得更好的外科治疗结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
- 医疗信息学 医疗信息学
背景情况:
- 激进囊切除术 (RC) 是一项重大手术,具有显著的术后并发症风险.
- 准确预测这些并发症对于患者管理和资源分配至关重要.
研究的目的:
- 评估生理能力和外科应激估计 (E-PASS) 评分系统的预测性表现.
- 确定E-PASS在识别高风险术后并发症的患者中的有效性.
主要方法:
- 对252名接受肌肉侵入性膀癌开放式RC的患者进行了回顾性分析.
- 收集的数据包括患者人口统计,并发症,手术细节和术后并发症 (Clavien-Dindo分类).
- 计算了E-PASS分数 (PRS,SSS,CRS) 并与并发症率相关联.
主要成果:
- 患有并发症的患者的年龄,BMI,并发症 (HT,CAD,DM,CKD) 和手术压力指标都较高.
- E-PASS综合风险评分 (CRS) 显示了显著的预测值 (AUC=0.905).
- 独立的并发症预测因素包括高BMI,更长的手术持续时间,HT,CKD和CRS> 0.4911.
结论:
- E-PASS评分系统在预测RC患者手术后并发症方面表现出很高的有效性.
- 电子通行证 (E-PASS) 可以成为风险分层和优化急性囊切除术患者护理的宝贵工具.
相关概念视频
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
72
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...
72
01:29Appendicitis-II: Diagnostic Studies and Management
74
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
74