预测模型用于识别成年人的性或穿孔性尾炎:一个多中心的回顾性研究
Yun Liang1, Maimaitiaili Sailai2, Rui Ding1
1Department of Gastrointestinal Surgery, The Fifth Affiliated Hospital of Sun Yat- Sen University, No.52 Mei Hua East Road, Xiang Zhou District, Zhuhai, Guangdong, 519000, China.
BMC gastroenterology
|October 9, 2024
概括
结合实验室测试和CT扫描的新型诺莫格拉姆模型可以准确预测瘤性或穿孔性尾炎 (GPA). 这种工具有助于外科医生及时做出决定,以便在急性尾炎病例中获得更好的患者结果.
科学领域:
- 手术瘤学手术瘤学
- 诊断成像 诊断成像 诊断成像
- 临床病理学 临床病理学
背景情况:
- 瘤性或穿孔性尾炎 (GPA) 呈现严重的并发症和比无并发症尾炎更高的死亡率.
- 准确的手术前识别GPA对于迅速的手术干预和改善患者预后至关重要.
研究的目的:
- 开发和验证一种预测性模型,用于瘤性或穿孔性尾炎 (GPA).
- 将实验室测试结果和计算机断层扫描 (CT) 发现整合到临床决策工具中.
主要方法:
- 一项回顾性多中心研究,涉及796名接受尾切除术的患者.
- 使用单变量和多变量逻辑回归分析开发名图.
- 在外部数据集上验证名ogram模型.
主要成果:
- 确定了七个独立的预测因素:白细胞计数,淋巴细胞计数,D-二次体,血清葡萄糖,白蛋白,尾直径和便的存在.
- 命名图表显示了良好的区分 (AUC 0.806培训,0.799测试) 和校准.
- 决策曲线分析证实了名谱对预测GPA的临床实用性.
结论:
- 一个整合实验室和CT数据的诺莫图有效地识别了GPA患者.
- 这种预测模型可以帮助进行手术决策,并有可能改善急性尾炎患者的治疗结果.
更多相关视频
03:05Author Spotlight: Advancing Early Detection and Treatment of Gastrointestinal Tumors
Published on: February 16, 2024
980
04:01Indocyanine Green-Guided Intraoperative Imaging to Facilitate Video-Assisted Retroperitoneal Debridement for Treating Acute Necrotizing Pancreatitis
Published on: September 8, 2022
2.4K
相关概念视频
Appendicitis-I: Introduction
91
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
91
Appendicitis-II: Diagnostic Studies and Management
66
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
66
Assessment of the Abdomen II: Percussion
211
Percussion is a fundamental technique used to assess the liver, spleen, and abdominal organs by tapping the abdomen and interpreting the resulting sounds. This method helps identify fluid, distention, and masses through variations in sound, such as the high-pitched tympany of air-filled areas and the dullness of solid masses. Understanding how to percuss these organs provides valuable information for healthcare professionals in diagnosing conditions early.
Percussion
Percussion is an essential...
Percussion
Percussion is an essential...
211
