一个基于机器学习的预测模型,用于腹部手术中的腹腔镜手术后下肢深静脉血栓的发生
Su-Zhen Yang1, Ming-Hui Peng1, Quan Lin1
1Department of Hepatobiliary Surgery, Wenzhou Central Hospital, Dingli Clinical Institute of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Frontiers in surgery
|June 16, 2025
概括
一个新的模型准确地预测了腹腔镜手术患者的深静脉血栓形成 (DVT) 风险. 这种LASDVT模型的性能优于卡普里尼得分,改善了手术后的患者安全.
科学领域:
- 医疗信息学 医疗信息学
- 手术瘤学手术瘤学
- 心血管医学 心血管医学
背景情况:
- 深静脉血栓症 (DVT) 是腹腔镜手术后的严重并发症,影响患者的流动性和生存.
- 准确识别高风险个体对于有效的DVT预防策略至关重要.
研究的目的:
- 开发和验证深静脉血栓症 (DVT) 的预测模型,用于腹腔镜手术的患者.
- 将开发模型的性能与已建立的卡普里尼分数进行比较.
主要方法:
- 对335名腹腔镜手术患者的临床数据进行了回顾性分析.
- 使用11个已识别的关键特征开发一个堆叠的机器学习模型.
- 评估了20个机器学习算法,其中前五个用于最终模型构建.
主要成果:
- 在外部验证集上,LASDVT模型表现出强大的预测性能,ROC为0.9293,AUPRC为0.6497.
- 确定的关键预测因素包括瘤史,患者年龄和手术持续时间.
- LASDVT模型的表现明显超过了卡普里尼得分 (p=0.0047).
结论:
- 开发的LASDVT模型为预测腹腔镜手术患者深静脉血栓形成 (DVT) 风险提供了卓越的工具.
- 这种模型可以帮助针对性地预防DVT,潜在地减少并发症并改善患者的治疗结果.
相关概念视频
Venous Thrombosis III: Interprofessional Care
28
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
28
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
43
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
43
Peripheral Artery Disease V: Postoperative Nursing Management
28
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
28
Venous Thrombosis I: Introduction
47
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
47
Pulmonary Embolism III: Nursing Management
46
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
46
Venous Thrombosis IV: Nursing Management
27
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
27


