索德格伦出血症状严重程度评分作为治疗出血疾病的指南:一个横截面研究
Siddhant Govekar1, Navin Kumar1
1General Surgery, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
7或更高的索德格伦得分有效预测出血疾病 (HD) 患者需要手术的需要. 这种患者报告的结果指标有助于为这种常见的直肠疾病做出治疗决策.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 临床结果研究研究
背景情况:
- 病 (HD) 是一种普遍存在的直肠疾病,影响全球众多成年人.
- 缺乏标准化结果措施,使得HD的治疗决策变得复杂.
- 患者报告的结果测量 (PROM) 提供了以患者为中心的对疾病严重程度和治疗指导的评估.
研究的目的:
- 为了确定索德格伦疹症状严重程度得分的切断点数.
- 预测诊断出出病的患者手术治疗的必要性.
主要方法:
- 包括34名被诊断患有HD的成年患者队列.
- 患者被分为非手术 (n=17) 和手术 (n=17) 组.
- 用索德格伦评分问卷来评估症状的严重程度.
主要成果:
- 在非手术 (中位数:4) 和手术 (中位数:7) 组之间观察到索德格伦得分的统计学上显著差异 (P=0.001).
- 索德格伦得分显示,预测手术干预的曲线下的面积 (AUC) 为0.834.
- 最佳切线分数≥7显示了58.8%的灵敏度和88.2%的特异性,用于预测手术.
结论:
- 索德格伦评分作为一个有价值的患者报告的结果衡量标准,用于评估疾病严重程度.
- 索德格伦评分≥7是用于治疗出血疾病的手术干预的可靠预测指标.
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