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与查尔森并发症指数相比,修订后风险分析指数在预测慢性下皮层血瘤治疗患者的预后方面具有歧视性价值

Camron Chugg¹, Omid Shoraka², Diwas Gautam³

¹Noorda College of Osteopathic Medicine, Provo, Utah, USA.

Operative neurosurgery (Hagerstown, Md.)

|February 18, 2026

概括

修订后的风险分析指数 (RAI-rev) 比查尔森并发症指数 (CCI) 更好地预测慢性腹膜下血瘤 (cSDH) 患者的结果. 在手术和内血管治疗中,RAI-rev有助于进行手术前风险分层.

科学领域:

神经外科神经外科
老年病的医生老年病的医生
临床流行病学临床流行病学

背景情况:

脆弱性评分系统对于评估患者的脆弱性和预测外科手术结果至关重要.
慢性亚皮血瘤 (cSDH) 治疗需要准确的风险分层工具.
在cSDH患者中比较RAI-rev和CCI的预测性能至关重要.

研究的目的:

为了比较修订后的风险分析指数 (RAI-rev) 和查尔森并发症指数 (CCI) 的预测性能.
为了评估这些脆弱性得分,在接受慢性下皮质血瘤 (cSDH) 治疗的患者.

主要方法:

从2019年1月到2024年7月对cSDH患者 (手术/内血管干预) 的回顾性多中心研究.
收集了基线人口统计数据,并发症,脆弱性得分 (RAI-rev,CCI) 和放射数据.
使用多变量回归和ROC分析评估了良好的临床结果 (mRS ≤2) 和30天死亡率.

主要成果:

RAI-rev独立预测了30天死亡率 (OR=1.05,P=.017) 和良好的临床结果 (OR=0.95,P<.001).
与CCI相比,RAI-rev显示了30天死亡率 (AUC 0.857比0.839) 和良好的临床结果 (AUC 0.767比0.739) 的优异歧视.
RAI-rev截止值≥28确定的高风险患者,死亡率和结局率显著不同.

结论:

对于cSDH治疗结果,RAI-rev显示出比CCI更好的预测性能.
RAI-rev可以增强手术前风险分层,并指导治疗计划,特别是对于脆弱的患者.
将RAI-rev整合到未来cSDH临床试验中可以改善对脆弱度量和患者结果的理解.

关键词:

查尔森并发症指数是指查尔森并发症指数.慢性腹膜下血腫慢性腹膜下血腫脆弱性脆弱性脆弱性外科手术的结果修订后的风险分析指数.

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