کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4155051 1273735 2015 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
A risk calculator predicting postoperative adverse events in neonates undergoing major abdominal or thoracic surgery
ترجمه فارسی عنوان
یک ماشین حساب ریسک پیش بینی عوارض جانبی پس از عمل در نوزادان تحت جراحی عمده شکم یا قفسه سینه
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

PurposeThis study sought to demonstrate the feasibility of a risk calculator for neonates undergoing major abdominal or thoracic surgery with good discriminative ability.MethodsThe American College of Surgeons' National Surgical Quality Improvement Program Pediatric (ACS-NSQIP-P) 2011–12 data were queried for neonates who underwent major abdominal or thoracic surgery. The outcome of interest was the occurrence of any adverse event, including mortality, within 30-days postoperatively. The preoperative clinical characteristics significantly associated with any adverse event were used to build a multivariate model. The model's discriminative ability was assessed with the area under the receiver operating characteristic curve (AUROC). The model was split-set validated with 2013 data.ResultsA total of 2967 neonates undergoing major abdominal or thoracic surgery were identified. The overall rate of adverse events was 23.3%. Sixteen variables were found to be associated with adverse events. Four variables increased the odds of adverse events at least two-fold: dirty or infected wound class [odds ratio (OR) = 2.1] dialysis (OR = 3.8), hepatobiliary disease (OR = 2.1), and inotropic agent use (OR = 2.6). The AUROC = 0.79 for development data and 0.77 on split-set validation.ConclusionPreoperatively estimating the probability of postoperative adverse events in neonates undergoing major abdominal or thoracic surgery with good discrimination is feasible.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Surgery - Volume 50, Issue 6, June 2015, Pages 987–991
نویسندگان
, , , , , , , , ,