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部和膝盖周围假肢关节感染之间的协议分析分类

Caterina Rocchi¹, Marco Di Maio², Alberto Bulgarelli^1,3

¹Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, 20090 Milan, Italy.

Diagnostics (Basel, Switzerland)

|May 14, 2025

概括

诊断周围假肢关节感染 (PJI) 对于预防植入物失败至关重要. 这项研究发现,主要的PJI分类系统之间存在很强的共识,尽管很少有百分比的患者仍然处于诊断灰色区域.

科学领域:

整形外科整形外科整形外科
传染性疾病传染性疾病
医学诊断医学诊断医学诊断

背景情况:

周围假肢关节感染 (PJI) 诊断对于预防植入物失败至关重要.
对于PJI诊断没有确定的黄金标准,这促使开发各种分类系统.
准确的PJI诊断依赖于强大可靠的分类标准.

研究的目的:

评估五个著名的PJI分类系统的评级者间可靠性.
为了比较对中的分类系统之间的协议.
评估世界治疗骨科和创伤感染协会 (WAIOT) 分类中的分类系统性能.

主要方法:

对膝盖和部PJI患者数据的回顾性分析.
评估五个评分系统之间的一致性:MSIS 2013,ICG 2018,EBJIS 2018,WAIOT和EBJIS 2021.这些系统中的共识.
包括Krippendorff的alpha和Cohen的Kappa在内的统计分析来衡量可靠性.

主要成果:

总共对203名PJI患者进行了分析.
在五个PJI分类系统中观察到强大的总体一致性 (克里多夫α=0.81).
2013年的MSIS和2018年的ICG系统显示了最高的协议 (科恩的卡帕=0.91).

结论:

主要的PJI分类系统在诊断感染方面表现出相当大的一致性.
一小部分患者 (5.42%) 仍然在诊断上含糊不清,特别是低级感染.
需要增强的诊断标准,资源高效的工具和基于人工智能的技术来改进PJI的检测和管理.

关键词:

在PJI PJI中.生物标志物生物标志物诊断诊断诊断诊断诊断诊断这就是为什么Hip-Hip-Hip-Hip-Hip-Hip.膝盖膝盖膝盖在

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