在接受尾切除的急性尾炎患者中,MELD得分可预测术后的发病率和死亡率:ACS-NSQIP数据分析分析:
Fady Daniel1, Mariam Baydoun2, Ali R Chaitou2
1Division of Gastroenterology and Hepatology, Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon. fd21@aub.edu.lb.
Surgical endoscopy
|October 31, 2025
概括
末期肝病模型 (MELD) 评分有效预测尾切除术患者的术后风险. 在评估30天的发病率和死亡率方面,MELD 3.0显示出最佳表现.
科学领域:
- 手术成果研究的研究结果.
- 医学中的预测建模.
- 胃肠病学和肝病学 胃肠学和肝病学
背景情况:
- 末期肝病模型 (MELD) 评分,最初用于肝移植资格,现在用于一般手术风险评估.
- 尾切除术是一种常见的手术,需要对术后并发症进行准确的风险分层.
研究的目的:
- 为了比较三种MELD评分版本 (1.0,2.0和3.0) 的预测准确性,对经历尾切除术的患者的30天术后发病率和死亡率进行比较.
- 为了评估MELD得分在评估尾切除术结果的有用性,在不同的外科手术方法和尾炎的严重程度.
主要方法:
- 来自ACS-NSQIP数据库 (2018-2022) 的尾切除病例的回顾性分析.
- 使用现行程序术语 (CPT) 代码44,950,44,960和44,970用于患者识别.
- 对比了MELD 1.0,2.0和3.0分数与死亡率,感染,器官并发症,血栓栓塞,败血症,出血和使用Chi-square测试返回OR等结果.
主要成果:
- 包括121,207名患者 (平均年龄为45.31±17.89岁;48.3%为女性).
- 在90.7%的病例中进行了腹腔镜尾切除术.
- 所有的MELD版本都预测了结果,无论手术方法如何;MELD 3.0显示出优异的预测性能. 患有MELD分数≥11的患者患有术后并发症的增加.
结论:
- 在其三种版本中,MELD评分是预测急性尾炎尾切除后30天发病率和死亡率风险的有效工具.
- MELD 3.0,特别是截止分数为11,为这些结果提供了更高的预测准确性.
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