用修改的脆弱指数和外科apgar分数预测头手术的预测结果
Ayham Al Afif1, Philip Rosen2, Jae Gardella3
1Department of Head and Neck, Plastic and Reconstructive Surgery, Roswell Park Comprehensive Cancer Center.
Oral oncology
|September 27, 2024
概括
修改后的外科Apgar得分比修改后的脆弱指数更好地预测头癌手术后的并发症. 使用这两个分数一起为风险分层提供了最小的额外好处.
科学领域:
- 在瘤学瘤学.
- 外科手术的结果
- 老年人手术是一门老年手术.
背景情况:
- 头部和部癌症手术存在重大风险.
- 准确预测术后结果对于患者管理至关重要.
- 现有的风险分层工具需要在特定的手术群体中进行验证.
研究的目的:
- 为了比较修改过的虚弱指数 (mFI) 和修改过的外科阿帕尔分数 (mSAS) 的预测效果,用于头癌患者的术后结果.
- 为了确定MFI和mSAS的联合使用是否改善了风险分层.
主要方法:
- 723名患者进行了重大头手术 (2012-2015年) 的回顾性评估.
- 计算每位患者的mFI和mSAS.
- 主要结局:30天的并发症和/或死亡.
主要成果:
- 无论mFI和mSAS都与30天的并发症有显著的相关性 (P<0.05).
- 与mFI (AUC=0.59) 相比,mSAS显示出更好的并发症预测能力 (AUC=0.76).
- 同时使用两个分数 (AUC=0.77) 提供了相对于单个分数的最小的附加效益.
结论:
- 无论mFI和mSAS都是风险分层的头癌患者的宝贵工具.
- 在这个队列中,mSAS是术后并发症的更有效预测器.
- 结合MFI和mSAS的应用在预测外科风险方面提供了有限的额外优势.
关键词:
阿普加尔评分 (Apgar Score) 是一个指标.复杂化 复杂化 复杂化 复杂化脆弱指数 (Frailty Index) 是一个指数.头部和部癌症 头部和部癌症疾病发病率 疾病发病率死亡率 死亡率 死亡率更多相关视频
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