一个以营养为基础的诺姆图,用于预测胃癌D2激进胃切除术后的腹内感染
Xinghao Ma1, Xiaoyang Jiang1, Hao Guo1,2
1Department of Clinical Nutrition, Lu'an Hospital, Anhui Medical University, Lu'an, 237005, China.
Langenbeck's archives of surgery
|March 13, 2025
概括
一个新的名图预测胃癌手术后的腹内感染 (IAI) 风险. 该工具使用营养风险查 (NRS) 2002分数,禁食血糖 (FBG) 和多内脏切除进行准确的风险评估.
科学领域:
- 在瘤学瘤学.
- 外科胃肠道外科手术
- 医疗信息学 医疗信息学
背景情况:
- 胃癌 (GC) 治疗通常涉及D2激进胃切除术.
- 腹腔内感染 (IAI) 是一个重要的术后并发症.
- 对IAI风险的预测工具对于患者管理至关重要.
研究的目的:
- 开发一种以营养为基础的食谱,用于预测GC的D2激进胃切除术后IAI风险.
- 在经过胃切除术的GC患者中确定IAI的独立预测因子.
主要方法:
- 对404名经过D2激进胃切除术的GC患者进行了回顾性分析.
- 术前营养指标的评估:NRS 2002分数,白蛋白 (ALB),PNI和CONUT分数.
- 多变量物流回归和ROC曲线分析以确定风险因素并构建预测性名ogram.
主要成果:
- 确定了NRS 2002分数,FBG和多内脏切除作为IAI的独立预测因素.
- 诺米图实现了0.744的AUROC,证明了良好的预测性能.
- 内部验证证实了nomogram的可靠性,其c指数为0.742和优异的校准.
结论:
- 基于营养的诺米图,包括NRS 2002分数,FBG和多内脏切除,可以有效预测D2激进胃切除术后的IAI风险.
- 这个名图为临床医生提供了一种有价值的工具,用于评估和管理GC患者的IAI风险.
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