术前营养指数的预测价值和模型构建,用于胃癌术后泄漏的胃癌
Yi Liao1, Li Lv1, Feizhi Lin2
1Department of Gastrointestinal Surgery Section 2, Department of General Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China; Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China; Biomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
这项研究开发了一种名谱,以使用营养指数预测胃切除术后的术后泄漏. 该工具准确识别高风险患者,有助于在胃癌手术的早期干预.
科学领域:
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
- 营养科学 营养科学
背景情况:
- 手术后泄漏是胃切除术后的一个重要并发症.
- 准确的风险评估对于患者管理和结果至关重要.
研究的目的:
- 探索营养指数对胃切除术后术后泄漏的预测价值.
- 开发和验证用于评估这种风险的名录.
主要方法:
- 使用从1075名接受激进胃切除术的患者的数据开发了一个预测性胃谱.
- 对286名患者的外部队列进行了验证.
- 用ROC曲线,校准图,DCA和CIC来评估模型性能.
主要成果:
- 诺米图识别了关键的风险因素:NRS-2002得分,SFMAI,VSR,失血,手术内时间,重建类型和劳伦类型.
- 诺米图表显示了可接受的预测准确性,AUC为0.763 (发展) 和0.761 (验证).
- 诺姆图表显示了令人满意的校准和显著的临床效用.
结论:
- 开发的诺米图谱是一种有效的工具,用于对患有术后泄漏高风险的患者进行初始查.
- 这种工具可以帮助早期识别和管理胃切除术后的并发症.
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