相关实验视频
Updated: May 24, 2025

A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
评估生理能力和手术压力 (E-PASS) 预测上腺切除术后的术后并发症
Mehmet Vehbi Kayra1, Mehmet Eflatun Deniz2, Cevahir Ozer2
1Faculty of Medicine, Department of Urology, Baskent University, Dadaloglu Mh Serinevler 2591 Sk No: 4/A Yuregir, 01250, Adana, Turkey. vehbikayra@hotmail.com.
生理能力和外科应激估计 (E-PASS) 评分有效预测上腺切除术后的并发症. 较高的BMI和较高的E-PASS CRS分数是关键的风险因素,有助于识别高风险患者.
科学领域:
- 手术成果研究的研究结果.
- 医学中的预测分析.
- 内分泌外科手术是一种内分泌手术.
背景情况:
- 生理学能力和外科应激估计 (E-PASS) 评分被验证用于预测胃肠道手术中的术后并发症.
- 上腺切除术虽然很常见,但会带来术后并发症的风险,需要准确的预测工具.
研究的目的:
- 为了评估E-PASS得分在预测术后并发症的有效性,特别是在腎上腺切除术后.
- 确定接受上腺切除术的患者并发症的独立风险因素.
主要方法:
- 一个单一中心的回顾性研究分析了182名接受了上腺切除术的患者的数据.
- 收集了手术前,手术内和手术后的数据,并使用克拉维恩-丁多分类来分级并发症.
- 使用多变量逻辑回归和ROC曲线分析来评估E-PASS得分的预测值.
主要成果:
- 术后并发症发生在26.4%的患者中,严重程度各不相同.
- 更高的身体质量指数 (BMI) 和E-PASS CRS得分大于-0.0677被确定为并发症的独立风险因素.
- E-PASS CRS分数切线显示出高预测准确度,曲线下的面积 (AUC) 为0.866.
结论:
- 通过E-PASS评分系统,可以有效地预测上腺切除术后的术后并发症.
- 将E-PASS评分集成到临床实践中可以改善高风险患者的识别,并优化术后管理.
- 这种预测能力可能会导致上腺切除术患者的不良结果减少.
更多相关视频
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
08:21Functional Assessment of the Donor Heart During Ex Situ Perfusion: Insights from Pressure-Volume Loops and Surface Echocardiography
Published on: October 11, 2022
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Appendicitis-II: Diagnostic Studies and Management
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...
Endoscopic Studies II: Thoracocentesis
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Endoscopic Procedures II: Colonoscopy
Radiological Investigation III: Pulmonary Angiogram and PET Scan
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Endoscopic Procedures V: ERCP
Patient...