开发和验证用于预测接受骨骨折手术的老年患者的术后新发作便秘的诺姆图
Liyang Liu1, Yugang Yuan2, Junhao Zeng2
1Department of Emergency, Renmin Hospital of Wuhan University, Wuhan, 430060, Hubei Province, China.
Scientific reports
|May 1, 2025
概括
这项研究开发了一种名图,用于预测老年关节骨折患者的术后便秘. 该工具可以识别高风险的个人进行早期干预,改善患者的治疗结果.
科学领域:
- 老年医学 老年医学
- 手术并发症 手术并发症
- 预测建模预测建模
背景情况:
- 手术后便秘是老年关节骨折患者常见的并发症,导致显著的不适和潜在的不良事件.
- 术后便秘的早期发现和干预对于患者的健康和康复至关重要.
研究的目的:
- 开发和验证一种名谱,用于预测接受关节骨折手术的老年患者新发作术后便秘的风险.
- 在这个患者群体中确定与术后便秘相关的关键因素.
主要方法:
- 对1092名接受关节手术的老年患者进行了回顾性研究.
- 用单变量和多变量逻辑回归分析来确定预测因素.
- 使用歧视,一致性和临床实用性评估构建和验证了一个名图.
主要成果:
- 确定有10个因素与术后便秘有显著的关联:体重指数,脑血管疾病,心血管疾病,胃肠道疾病,失血,脏疾病,术前下肢血栓,心脏手术史,患者控制的止痛和术前肺部感染.
- 命名图表表现出良好的区分能力,训练组的曲线下的面积 (AUC) 为0.730,测试组为0.712.
结论:
- 开发的诺米图有效地预测了老年关节骨折患者术后新发作便秘的风险.
- 这种工具可以帮助早期识别高风险患者,使得及时和有针对性的干预措施能够减轻并发症.
更多相关视频
04:00Author Spotlight: Assessing Surgical Frailty with Point-of-Care Ultrasound of Quadriceps Muscles
Published on: July 26, 2024
388
09:51The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
2.5K
相关概念视频
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
29
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...
29
01:29Appendicitis-II: Diagnostic Studies and Management
47
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...
47