先天性畸形婴儿手术干预致死病例概率估计的预测模型

Alexey O. Vlasov, I. A. Holovanova
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引用次数: 0

摘要

目的:评价不同麻醉方式在婴幼儿先天性畸形手术矫治中的应用,并建立麻醉护理方式选择中危险因素与死亡病例的关联预测模型。材料与方法:回顾性研究纳入接受并持续分期手术治疗的新生儿和婴儿先天性畸形。危险因素的确定采用简单逻辑回归方法,计算优势比(OR)和95%置信区间(95% CI)。结果:本研究共纳入150名儿童。已经确定了儿童先天性畸形手术矫正中死亡的危险因素,并建立了预后模型。结论:为预防新生儿及婴儿CM的各类手术致死性及麻醉护理选择,应在治疗各阶段密切监测患儿脑、外周血氧饱和度,及时纠正患儿的受损情况。
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PREDICTION MODEL OF PROBABILITY ESTIMATE OF FATAL CASES IN INFANTS WITH CONGENITAL MALFORMATIONS IN SURGICAL INTERVENTIONS
Aim: To evaluate different types of combined anesthesia in surgical correction of congenital malformations in infants and to develop a prediction model of the association of risk factors and fatal cases in chosen methods of anesthesia care. Material and methods: The retrospective study included newborns and infants with congenital malformations, who received and continued phased surgical treatment. Determination of risk factors was performed by the method of simple logistic regression with the calculation of the odds ratio (OR), 95% confidence interval (95% CI). Results: A total of 150 children were included in the study. The risk factors for deaths in the surgical correction of congenital malformations in children have been established, a prognostic model has been created. Conclusions: To prevent fatal cases in various types of surgery and options for anesthesia care of newborns and infants with CM, it is advisable to more closely monitor the cerebral, peripheral oximetry at all stages of treatment and timely correct the impaired condition of the child.
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