在流行病后的时代,在紧急住院患者中建立下肢深静脉血栓的预测模型
Xiaodong Xia1, Lei Hua2, Yongqiang Zhang3
1Department of Emergency Medicine, Tianjin Medical University General Hospital, Tianjin, China.
Frontiers in surgery
|April 22, 2025
概括
下肢深静脉血栓症 (LEDVT) 的发生率在流行病后的紧急住院患者中增加. 年龄,吸烟,饮酒和糖化血红蛋白是LEDVT的关键危险因素.
科学领域:
- 医学研究 医学研究
- 血管医学 血管医学
- 流行病学 流行病学
背景情况:
- 后疫情时代在医疗保健领域带来了独特的挑战,可能会影响患者的治疗结果.
- 深静脉血栓 (DVT) 仍然是一个重大问题,特别是在住院患者中.
- 了解下肢深静脉血栓瘤 (LEDVT) 的不断变化的风险因素对于有效的患者管理至关重要.
研究的目的:
- 分析与LEDVT相关的风险因素,在疫情后期的紧急住院患者.
- 开发和验证用于识别高风险LEDVT患者的预测模型.
- 为了比较流行病和后流行病阶段之间的LEDVT发病率.
主要方法:
- 从2022年6月到2023年6月的紧急住院患者的回顾性分析,分为流行病和后流行病组.
- 基线特征,实验室结果和LE超声波发现的比较.
- 多变量物流回归和ROC曲线分析,以建立和评估LEDVT的预测模型.
主要成果:
- 疫情后组的LEDVT发病率明显高 (33.2%) 与疫情后组 (26.8%) 相比.
- 鉴定出LEDVT的独立危险因素包括晚年,吸烟史,饮酒史和高血糖化血红蛋白 (HbA1c).
- 开发了一个预测模型,ROC曲线下的面积为0.718.
结论:
- 在紧急住院患者中LEDVT的发生率在后疫情时代增加了.
- 年龄,吸烟,饮酒习惯和HbA1c是发展LEDVT的重要危险因素.
- 建立的预测模型有助于识别针对性干预的高风险个体.
相关概念视频
01:18Steps in Outbreak Investigation
90
In the ever-evolving field of public health, statistical analysis serves as a cornerstone for understanding and managing disease outbreaks. By leveraging various statistical tools, health professionals can predict potential outbreaks, analyze ongoing situations, and devise effective responses to mitigate impact. For that to happen, there are a few possible stages of the analysis:
90
01:30Anticoagulant Drugs: Low-Molecular-Weight Heparins
545
Hemostasis is a crucial process that prevents excessive blood loss from damaged blood vessels. It involves various mechanisms such as vasoconstriction, platelet adhesion and activation, and fibrin formation. The importance of each mechanism depends on the type of vessel injury. In contrast, thrombosis is the abnormal formation of a blood clot within the blood vessels, leading to potential complications if the clot obstructs blood flow. Thrombosis can be caused by increased coagulability of the...
545
01:15Veins of Lower Limbs
350
The human body consists of an intricate network of veins responsible for the crucial task of blood drainage from the lower limbs. These veins can be categorized into two main types: deep veins and superficial veins.
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the...
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the...
350
01:27Assessment of the Cardiovascular System III: Palpation
155
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
155