在术后自发性脑内出血患者早期深静脉血栓的预测性诺莫格拉姆模型的开发
Linjun Tang1, Yong Xu1, Liangwei Wang1
1Department of Neurosurgery, The Second People's Hospital of Wuhu, Wuhu, People's Republic of China.
International journal of general medicine
|October 23, 2024
概括
这项研究确定了卡普里尼分数和手术出血量作为自发性脑内出血 (SICH) 手术后深静脉血栓 (DVT) 的关键风险因素. 开发了一种预测模型,以帮助对SICH患者的早期DVT风险评估.
科学领域:
- 神经外科 神经外科
- 血管外科 血管外科
- 关键护理医学 关键护理医学
背景情况:
- 自发性脑内出血 (SICH) 患者面临着术前下肢深静脉血栓症 (DVT) 的显著风险.
- 在SICH患者中,有效的DVT预防和治疗策略对于改善临床结果至关重要.
研究的目的:
- 在自发性脑内出血 (SICH) 后的外科手术阶段,确定深静脉血栓 (DVT) 的风险决定因素.
- 在SICH患者中开发和验证早期DVT发生的预测模型.
主要方法:
- 来自96名接受手术的SICH患者的临床数据的回顾性分析 (2021年10月 - 2024年3月).
- 后勤回归分析 (单变量和多变量) 以确定DVT风险因素.
- 开发和验证使用ROC曲线和bootstrap重新采样的nomogram模型.
主要成果:
- 在96名参与者中,有46名患者在手术后的第一周内出现了DVT.
- 确定了重要的危险因素:卡普里尼评分 (OR 1.962) 和外科整体出血量 (OR 1.010).
- 预测模型显示出高准确度,AUC为0.918.
结论:
- 卡普里尼分数和外科整体出血量是术后SICH患者内心血栓发生的独立预测指标.
- 为预测SICH后的早期DVT手术而建立了一个简单而有效的诺莫格拉姆模型.
- 这个模型可以帮助临床医生评估个体患者的风险,并优化管理策略.
更多相关视频
相关概念视频
Venous Thrombosis III: Interprofessional Care
2
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
2
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
2
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
2
Venous Thrombosis IV: Nursing Management
2
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
2
Venous Thrombosis I: Introduction
2
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
2


