使用COLDS评分预测在全身麻醉下进行选择性手术的儿童中预测外科呼吸系统不良事件:一项前性观察研究
Essam Mohamed H Hegazy1, Houda Almusalhi2, Suhrud Panchawagh3
1Anesthesia and Critical Care, Ibra Hospital, Ibra, OMN.
Cureus
|June 27, 2025
概括
感冒得分有助于识别患有手术后呼吸问题风险的儿童. 虽然它是特定的,但它应该补充临床判断,以准确评估患上上呼吸道感染的儿科患者的风险.
科学领域:
- 麻醉学 麻醉学
- 儿科手术 儿科手术
- 呼吸系统医学 呼吸系统医学
背景情况:
- 最近患上上呼吸道感染 (URTI) 的儿科患者存在重大麻醉挑战.
- 外科手术期间的呼吸系统不良事件 (PRAE) 在这个人群中是令人担忧的.
研究的目的:
- 评估COLDS得分作为预麻醉工具,用于预测URTI的儿科外科患者的PRAE.
- 为了评估COLDS得分的歧视能力.
主要方法:
- 在6个月内从儿童 (年龄大于1岁) 进行全身麻醉 (GA) 选择性耳鼻喉手术的未来数据收集.
- 排除标准包括1岁以下的儿童,非ENT手术和紧急手术.
- 对270名患者进行分析,以确定COLDS得分对PRAE的预测值.
主要成果:
- 25名 (9.3%) 患者经历了术后事件.
- 寒冷症得分显示出强大的区分能力 (AUC 0.92) 和高特异性 (97.96%).
- 灵敏度是中度的,为40.0%,表明大量事件没有仅仅通过得分被检测出来.
结论:
- 慢性肺炎得分在区分可能患有PRAEs的患者方面是有效的.
- 由于敏感度中等,COLDS得分应与全面的临床评估和手术类型评估一起使用.
- 这种方法增强了URTI手术的儿科患者的风险分层.
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