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糖尿病足患者治愈后复发的预测因素:系统性审查和元分析

Yujian Sun¹, Yue Zhou¹, Yu Dai¹

¹Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, China.

Journal of tissue viability

|July 14, 2024

概括

糖尿病足 (DFU) 复发可以使用各种模型预测. 这次审查发现了15个具有良好表现的模型,确定了更好的临床管理的关键预测因素,如年龄和生活状况.

科学领域:

医学研究医学研究
临床流行病学临床流行病学
糖尿病管理糖尿病管理

背景情况:

糖尿病足 (DFU) 是糖尿病的严重并发症,导致高发病率和死亡率.
由于相关的外围神经病变和动脉疾病,DFU的管理具有挑战性.

研究的目的:

系统地审查糖尿病足治愈后复发的风险预测模型.
为临床医生在为DFU患者选择合适的预测模型时提供指导.

主要方法:

搜索了五个主要的数据库,搜索到2023年9月的文学作品.
使用PROBAST工具评估研究质量,并使用STATA 17.0.0进行元分析.
包括9项涉及5956名患者的研究.

主要成果:

确定了15个风险预测模型,12个显示出良好的预测性能 (AUC ≥ 0.7).
9个验证模型的综合AUC为0.83.
年龄和孤独生活等因素是DFU复发的重要预测因素 (p < 0.05).

结论:

现有的DFU复发风险预测模型显示出有希望的表现.
未来的研究应该专注于改善后续持续时间,模型校准和验证过程.
增强型模型可以帮助临床决策和改善患者的治疗结果.

关键词:

糖尿病并发症糖尿病并发症糖尿病足部糖尿病足部进行元分析分析.治疗后复发的复发情况风险预测模型的风险预测模型.

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