在接受妇科手术的患者中进行外科手术期间输血的预测模型:系统性审查
Zhongmian Pan1,2, Kittipat Charoenkwan1
1Department of Obstetrics and Gynecology, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
Diagnostics (Basel, Switzerland)
|September 28, 2024
概括
本综述评估了妇科外科手术中术前输血的预测模型. 目前的模型显示在验证和方法上存在局限性,需要更强大的工具来改善患者护理.
科学领域:
- 妇科 妇科 妇科 妇科
- 手术瘤学手术瘤学
- 输血医学 输血医学
背景情况:
- 在外科手术期间输血具有固有的风险.
- 精确预测输血需求对于妇科手术中的患者安全至关重要.
- 现有的预测模型需要进行彻底的评估.
研究的目的:
- 系统地审查和评估现有的预测模型,在妇科手术中进行外科手术期间输血.
- 评估这些模型的开发,验证和预测性能.
- 识别当前预测工具中的差距和局限性.
主要方法:
- 对开发或验证外科手术期间输血预测模型的研究进行系统性文献审查.
- 包括专注于妇科手术的研究.
- 评估模型方法,包括预测变量,数据处理,性能指标和验证.
主要成果:
- 包括五项研究,利用诸如手术前血红素,种族,手术途径和子宫纤维瘤等因素.
- 在术后期的定义和输血标准中发现了显著的变化.
- 大多数模型由于方法上的缺陷 (例如,每个变量发生的事件很少,数据处理不当,验证不足) 导致偏差的风险很高.
结论:
- 虽然一些模型显示出良好的区别,但整体质量和外部验证有限.
- 在妇科外科手术中,急需更强大,外部验证的预测模型.
- 未来的研究应该优先考虑严格的验证和标准化的报告,以改善临床决策.
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