预测急诊室破裂尾炎的RAMA-WeRA风险评分;为外部验证而进行的多中心研究
Welawat Tienpratarn1, Guyphol Kasemlawan1, Chaiyaporn Yuksen1
1Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Thailand.
Archives of academic emergency medicine
|July 4, 2024
概括
拉马-韦拉风险评分有助于在急诊室识别破裂尾炎. 这一分数在高风险病例中达到75%的准确性,改善了急性尾炎的诊断.
科学领域:
- 紧急医疗 紧急医疗
- 手术诊断手术诊断的使用方法
- 临床风险分层的临床风险分层
背景情况:
- 从临床上讲,区分破裂和非破裂的急性尾炎是具有挑战性的.
- 准确和及时的诊断对于有效的患者管理和结果至关重要.
研究的目的:
- 为了验证RAMA-WeRA风险评分用于预测破裂尾炎的诊断准确性.
- 在急诊室环境中评估RAMA-WeRA风险评分的查性能.
主要方法:
- 在6家泰国医院进行了一项多中心诊断准确性研究.
- 包括年龄大于15岁的患者,怀疑急性尾炎和病理报告.
- 评估了RAMA-WeRA风险评分的查性能特征.
主要成果:
- 分析了860名患者;其中19.38%患有尾炎破裂.
- 拉玛-韦拉风险评分显示ROC曲线下的面积 (AuROC) 为75.11%.
- 评分>6 (高风险) 的正确概率比为3.22,对破裂尾炎的敏感度为43.8%,特异性为86.4%.
结论:
- 拉玛-韦拉风险评分在预测破裂尾炎方面表现出中度准确性.
- 该分数可以帮助急诊室识别需要进一步评估尾炎破裂的高风险患者.
更多相关视频
09:32Manufacturing Abdominal Aorta Hydrogel Tissue-Mimicking Phantoms for Ultrasound Elastography Validation
Published on: September 19, 2018
15.3K
04:01Indocyanine Green-Guided Intraoperative Imaging to Facilitate Video-Assisted Retroperitoneal Debridement for Treating Acute Necrotizing Pancreatitis
Published on: September 8, 2022
2.4K
相关概念视频
Appendicitis-I: Introduction
105
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
105
Appendicitis-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
Assessment of apical radial pulse
740
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
740
Relative Risk
143
Relative risk (RR) is a statistical measure commonly used in epidemiology to compare the likelihood of a particular event occurring between two groups. This metric is important for evaluating the relationship between exposure to a specific risk factor and the probability of a particular outcome. It plays a crucial role in medical research, public health studies, and risk assessment. Relative risk quantifies how much more (or less) likely an event is to occur in an exposed group compared to an...
143
SBAR II: Application of SBAR
4.4K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.4K
