髋关节置换术后6个月功能结局不满意的围手术期可预测性。
Perioperative predictability of unsatisfactory functional outcomes 6 months after hip arthroplasty.
作者信息
Jakuscheit Axel, Weth Johannes, Lichtner Gregor, Horas Konstantin, Rehberg-Klug Benno, von Dincklage Falk
机构信息
Department of Orthopaedic Surgery, University of Wuerzburg, Koenig-Ludwig-Haus, Brettreichstr. 11, 97074, Germany.
Department of Anaesthesiology and Intensive Care Medicine, Campus Charité Mitte and Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany.
出版信息
J Orthop. 2021 Feb 13;24:34-41. doi: 10.1016/j.jor.2021.02.014. eCollection 2021 Mar-Apr.
BACKGROUND
Aiming at an early identification of patients with an unsatisfactory outcome after hip arthroplasty we investigated the pre-, intra- and early postoperative predictability.
METHODS
Using logistic regression models at nine different time points we calculated the area under the curve of the receiver operating characteristic (ROC-AUC) to compare the predictability of an unsatisfactory outcome.
RESULTS
The predictability of unsatisfactory outcomes increased significantly from a ROC-AUC (95% CI) of 0.73 (0.62-0.84) in the preoperative setting to 0.85 (0.77-0.94) on day 2 after surgery.
CONCLUSION
Most of the patients with unsatisfactory outcomes can be identified during the first days after surgery.
背景
为了早期识别髋关节置换术后预后不佳的患者，我们研究了术前、术中和术后早期的预测能力。
方法
在九个不同时间点使用逻辑回归模型，我们计算了受试者工作特征曲线下面积（ROC-AUC），以比较预后不佳的预测能力。
结果
预后不佳的预测能力从术前的ROC-AUC（95%CI）0.73（0.62-0.84）显著增加到术后第2天的0.85（0.77-0.94）。
结论
大多数预后不佳的患者可以在术后第一天内被识别出来。
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