在非创伤性腹部紧急情况中的损害控制手术:SOFA,APACHEII和曼海姆腹膜炎指数的预后价值
Roberto Rasslan1, Fábio de Oliveira Ferreira2, Jeammy Andrea Perez Parra2
1Departament of Surgery, Division of General Surgery and Trauma, Universidade de São Paulo, Av. Dr Enéas de Carvalho Aguiar, no. 255, 8th. Floor, São Paulo, Brazil. robertorasslan@uol.com.br.
Updates in surgery
|September 12, 2024
概括
预后得分如SOFA,APACHE II和曼海姆腹膜炎指数 (MPI) 有效地预测了在非创伤病例中接受损伤控制手术 (DCS) 的患者的结果. 这些分数有助于评估死亡风险,并指导腹部紧急情况的手术决策.
科学领域:
- 手术成果研究的研究结果.
- 关键护理医学 关键护理医学
- 预测模型的预测建模.
背景情况:
- 损伤控制手术 (DCS) 对于非创伤性腹部紧急情况至关重要.
- 准确的预后评估对于患者管理和手术规划至关重要.
- 现有的评分系统需要对其在DCS环境中的有用性进行评估.
研究的目的:
- 为了评估顺序性器官衰竭评估 (SOFA),APACHE II和曼海姆腹膜炎指数 (MPI) 评分的预后值.
- 为了确定这些得分的预测准确度,以确定非创伤性腹部疾病的DCS患者的死亡率.
- 评估这些分数在指导DCS手术决策中的有用性.
主要方法:
- 在2014-2019年间,对104名接受DCS的患者进行了回顾性分析.
- 在DCS之前计算的SOFA和APACHE II分数;基于外科描述的MPI.
- 统计分析包括千平方,费舍尔的确切,皮尔森的相关性,和学生的T测试.
主要成果:
- 在DCS后观察到的高死亡率 (75%).
- SOFA,APACHE II和MPI得分与死亡风险有显著的相关性 (p<0.05).
- 年龄和ASA分类也影响了死亡风险.
结论:
- 在非创伤性腹部紧急情况中,SOFA,APACHE II和MPI得分对于接受DCS的患者来说是有价值的预后工具.
- 这些分数可以帮助风险分层和临床决策.
- 进一步的研究可能会完善这些分数在DCS协议中的应用.
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