[根据多变量分析和名图,在患有良性发性位置性的患者中重新定位后残留的风险评估]
Yanning Yun1, Xinyu Xu2, Hansen Zhao1
1Department of Otorhinolaryngology Head and Neck Surgery,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an,710061,China.
概括
针对良性发性位置性 (BPPV) 重定位后的残留头 (RD) 与糖尿病,运动恶心,长期头和复发有关. 一个预测模型识别了针对性干预的高风险患者.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经学 神经学
- 临床医学 临床医学
背景情况:
- 良性性发性位置性 (BPPV) 是一种常见的前体障碍.
- 在BPPV.成功重新定位操作后,残留的头 (RD) 可能会持续存在.
- 确定RD的风险因素对于患者管理至关重要.
研究的目的:
- 研究BPPV患者残留头 (RD) 的临床特征.
- 确定与RD相关的潜在风险因素.
- 开发R&D的预测风险模型.
主要方法:
- 137名BPPV患者根据重定位后3个月内的症状分为非RD和RD组.
- 人口统计,并发症和与疾病相关的特征进行了比较.
- 使用多变量逻辑回归和名图构造来识别风险因素并评估模型性能 (AUC).
主要成果:
- RD组的BMI更高,糖尿病患病率更高,运动性发作史更高,头持续时间更长,先前的治疗次数更高,复发率更高.
- 独立的RD风险因素包括糖尿病,运动性疾病史,头持续时间≥30天和复发.
- 诺米图模型显示出良好的预测能力,AUC为0.804.
结论:
- 糖尿病,运动病史,长时间的头持续时间和复发是RD后BPPV重新定位的重要风险因素.
- 纳入这些因素的诺莫格拉姆模型显示了 RD 的强有力的预测性能.
- 该模型有助于早期识别高风险BPPV患者,以进行个性化干预.
关键词:
良性性发性定位性头.糖尿病 糖尿病患者 糖尿病患者运动性 motion sickness 运动性 motion sickness 运动性 motion sickness 运动性 motion sickness 运动性 motion sickness 运动性 motion sickness 运动性 motion sickness复发性 复发性 复发性其他残留症状.有关风险因素的风险因素.更多相关视频
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