一个动态的诺米图,预测结肠癌手术后患者的医院感染
Xue Yao1, Shuhui Wang2, Anning Lu3
1Department of Joint Surgery, Weifang People's Hospital, Weifang, Shandong, China.
Frontiers in oncology
|March 17, 2025
概括
这项研究开发了一个名图,用于预测手术后结肠癌患者的医院感染. 该工具有助于卫生保健工作者预防和控制这些感染,提高患者的安全.
科学领域:
- 在瘤学瘤学.
- 传染性疾病 传染性疾病
- 外科手术的安全性
背景情况:
- 鼻腔感染是显著的术后并发症,影响结肠癌患者的术后安全性.
- 在这个特定的患者群体中,对于这些感染存在有限的视觉风险预测工具.
研究的目的:
- 构建一个名图,用于预测在接受结肠癌手术的患者中患病室感染的风险.
- 开发一种视觉查工具,用于早期识别和预防术后感染.
主要方法:
- 结肠癌手术后的一组1146名患者被分为训练和验证组.
- 通过LASSO和后勤回归,确定了关键预测因素;创建并验证了一个名ogram.
- 用AUC,校准曲线和决策/影响曲线来评估模型性能.
主要成果:
- 9.60%的患者患上了医院感染.
- 关键预测因素包括高峰温度,布拉登分数,排水时间,ASA类,手术类型和并发症.
- 在这两组中,名图表表现出了良好的区分,校准和临床实用性.
结论:
- 已识别的风险预测因素对于医院感染预防和控制策略至关重要.
- 开发的动态名图可以帮助医疗保健专业人员评估感染风险.
- 该工具支持增强结肠癌外科手术患者的术后安全性.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
38
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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...
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...
38
Appendicitis-II: Diagnostic Studies and Management
54
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...
54
Healthcare Associated Infections II: Preventive Measures
2.3K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.3K
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
53
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
53


