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首页> 外文期刊>Journal of International Medical Research >Constructing a risk prediction model for anastomotic leakage after esophageal cancer resection
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Constructing a risk prediction model for anastomotic leakage after esophageal cancer resection

机译:在食管癌切除后构建吻合口渗漏的风险预测模型

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Objective The purpose of this study was to investigate a newly constructed risk prediction model for anastomotic leakage after esophageal cancer resection. Methods A retrospective survey of 205 patients who underwent esophageal cancer resection was conducted using a self-designed questionnaire. The influencing factors were explored by single factor analysis, and a logistic regression analysis was performed to construct the prediction equation. A receiver operating characteristic curve was used to evaluate the model. Results The incidence of anastomotic leakage after esophageal cancer resection was 11.73%. There were five independent risk factors entered into the regression equation. The risk prediction equation was Z?=?0.108?×?age?+?2.011?×?preoperative chemotherapy history?+?3.007?×incision redness/exudation?+?2.632?×?pleural effusion?+?1.934?×?increased white blood cell count???12.304. According to the receiver operating characteristic curve test, the area under the curve was 0.946, the sensitivity was 0.833, the specificity was 0.912, and the Youden index was 0.745. Conclusion The risk model of anastomotic leakage after esophageal cancer resection had a good predictive effect that was of significance for guiding clinical observation and early-screening.
机译:目的本研究的目的是调查食管癌切除后吻合口渗漏的新构建的风险预测模型。方法采用自动调查问卷进行205例接受食管癌切除术的205例患者的回顾录调查。通过单因素分析探索了影响因素,并进行了逻辑回归分析来构建预测方程。接收器操作特性曲线用于评估模型。结果食管癌切除后吻合口渗漏的发生率为11.73%。进入回归方程有五个独立的风险因素。风险预测等式是z?=?0.108?×5岁?年龄?+?2.011?×术前化疗历史?+ 3.007?×切口发红/渗出?+?2.632?+胸腔积液?+?1.934?×胸腔积液?+增加白细胞计数?12.304。根据接收器操作特征曲线试验,曲线下的面积为0.946,灵敏度为0.833,特异性为0.912,YENEN指数为0.745。结论食管癌切除后吻合口渗漏的风险模型具有良好的预测效果,对引导临床观察和早期筛查具有重要意义。

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