在腹部手术后转移到ICU的危急患者中预测术后肺部并发症的诺莫图
Bin Wang1,2, Han Sheng Liang1, Jia Wei Shen2
1Department of Anaesthesiology, Peking University People's Hospital, 100044, Beijing, China.
这项研究确定了腹部手术后重症患者手术后肺部并发症 (PPC) 的关键风险因素. 开发了一个预测模型,以帮助识别PPC高风险个体.
科学领域:
- 关键护理医学 关键护理医学
- 外科手术的结果
- 呼吸系统医学 呼吸系统医学
背景情况:
- 手术后的肺部并发症 (PPC) 在腹部手术后的重症患者中是一个重大问题.
- 识别风险因素和开发预测模型对于改善患者的治疗结果和降低发病率至关重要.
研究的目的:
- 在腹部手术后的重症患者中调查PPC的风险因素.
- 在这个患者群体中开发和验证PPC的预测模型 (nomogram).
主要方法:
- 在腹部手术后入院ICU的3716名患者的回顾性分析 (2015年1月 - 2020年12月).
- 利用2021年3月至2022年12月入院的患者进行验证的前性数据收集.
- 基于已识别的独立风险因素,开发一个名ogram预测模型.
主要成果:
- 在重症手术患者中确定了PPC的十个独立风险因素.
- 诺米图表表现出良好的预测价值,ROC曲线下的面积在训练集中为0.771,在验证集中为0.759.
- 该模型有效预测腹部手术后转移到ICU的患者的PPC.
结论:
- 在接受腹部手术的重症患者中,已经确定了PPC的独立风险因素.
- 纳入这些因素的nomogram模型显示了PPC的显著预测能力.
- 这种预测工具可以帮助早期识别和管理高风险的手术患者,以预防肺部并发症.
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