Đánh giá giá trị của thang điểm SORT trong tiên lượng biến chứng sau phẫu thuật lớn=Assessment of SORT value in predicting complications after a major surgery

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Hoàng Hải Nguyễn, Thị Vân Trần, Hoàng Phương Vũ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Nghiên cứu y học (Đại học Y Hà Nội), 2024

Mô tả vật lý: tr.68-75

Bộ sưu tập: Metadata

ID: 244811

Thêm vào giỏ

As more than 300 million surgeries are performed wordwide yearly, it is necessary to accurately atratify patients’s risk. The object of this study was to assess the performance of SORT in Vietnamese patients undergoing major surgery. We conducted a descriptive prospective study on 243 patients who underwent major surgery in Hanoi Medical University Hospital. Hosmer-Lemeshow test was used to assess calibration. Area under curve ROC was used to assess discrimination. Observed mortality was 5.3%. Mortality predicted by SORT was 12.9%. Calibration at the Hosmer-Lemeshow statistic was not good with p <
0.01. The AUC for SORT was 0.869. The SORT was predictive of infection (AUC 0.7274), pneumonia (AUC 0.7809), respiratory failure (AUC 0.8216), ARDS (AUC 0.8012), postoperative bleeding (AUC 0.7266), acute kidney injury (AUC 0.8753). This result shows that the SORT demonstrated good discrimination in predicting mortality, however mortality was overpredicted after major surgery.Hàng năm, hơn 300 triệu cuộc phẫu thuật được tiến hành trên thế giới, vì thế cần phân tầng chính xác nguy cơ của người bệnh. Nghiên cứu nhằm đánh giá giá trị của thang điểm SORT trên người bệnh Việt Nam trong tiên lượng biến chứng sau phẫu thuật lớn. Chúng tôi tiến hành nghiên cứu tiến cứu mô tả trên 243 bệnh nhân phẫu thuật lớn tại Bệnh viện Đại học Y Hà Nội từ 1/4/ 2023 đến tháng 31/10/2023. Khả năng phân độ của SORT được đánh giá bằng test Hosmer - Lemeshow. Khả năng phân biệt của SORT được đánh giá bằng cách tính diện tích dưới đường cong AUROC. Tỉ lệ tử vong là 5,3%. Tỉ lệ tử vong dự báo theo SORT là 12,9%. Test Hosmer-Lemeshow cho kết quả p <
0,001. Diện tích dưới đường cong AUROC là 0,869. SORT có khả năng dự báo các biến chứng nhiễm trùng (AUC 0,7274), viêm phổi (AUC 0,7809), suy hô hấp (AUC 0,8216), ARDS (AUC 0,8012), chảy máu sau phẫu thuật (AUC 0,7266), tổn thương thận cấp (AUC 0,8753). Kết quả cho thấy mặc dù thang điểm SORT có giá trị tiên lượng tử vong cho bệnh nhân sau phẫu thuật lớn với khả năng phân biệt tốt nhưng SORT dự đoán quá mức tỷ lệ rủi ro.

1. Đọc trực tuyến

1. Đọc trực tuyến

Tạo bộ sưu tập với mã QR