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中国急诊科肾绞痛孕妇临床诊断模型的建立与验证:一项回顾性队列研究方案。

Development and validation of a clinical diagnostic model for pregnant women with renal colic in the emergency department in China: a protocol for a retrospective cohort study.

机构信息

Department of Clinical Laboratory, Ruian People's Hospital, Ruian, China

Department of Ultrasound Imaging, Ruian People's Hospital, Ruian, China.

出版信息

BMJ Open. 2022 May 2;12(5):e056510. doi: 10.1136/bmjopen-2021-056510.

Abstract

INTRODUCTION

Urolithiasis affects many people throughout their lives. Among the maternal population, although the morbidity of acute urolithiasis in pregnant women is unremarkable, it is the leading cause of hospitalisation during pregnancy. There is no effective clinical diagnostic tool to help doctors diagnose diseases. Our primary aim was to develop and validate a clinical prediction model based on statistical methods to predict the probability of having disease in pregnant women who visited the emergency department because of urolithiasis-induced colic.

METHODS AND ANALYSIS

We will use multivariate logistic regression analysis to build a multivariate regression linear model. A receiver operating characteristic curve plot and calibration plot will be used to measure the discrimination value and calibration value of the model, respectively. We will also use least absolute shrinkage and selection operator regression analysis combined with logistic regression analysis to select predictors and construct the multivariate regression model. The model will be simplified to an application that has been reported before, and users will only need to enter their clinical parameters so that risk probability is automatically derived.

ETHICS AND DISSEMINATION

The review and approval documents of the clinical research ethics committee have been received from the ethics committee of our hospital (The Third Affiliated Hospital of Wenzhou Medical University). We will disseminate research findings through presentations at scientific conferences and publication in peer-reviewed journals.

摘要

简介

尿石症影响着许多人的一生。在孕产妇人群中,尽管孕妇急性尿石症的发病率并不显著,但它是导致孕妇住院的主要原因。目前还没有有效的临床诊断工具来帮助医生诊断疾病。我们的主要目的是开发和验证一种基于统计方法的临床预测模型,以预测因绞痛而到急诊科就诊的孕妇患该病的概率。

方法与分析

我们将使用多变量逻辑回归分析来构建多变量回归线性模型。将使用受试者工作特征曲线和校准曲线分别测量模型的区分值和校准值。我们还将使用最小绝对收缩和选择算子回归分析结合逻辑回归分析来选择预测因子并构建多变量回归模型。该模型将被简化为之前报道过的应用程序,用户只需输入其临床参数,即可自动得出风险概率。

伦理与传播

本研究的临床研究伦理委员会审查和批准文件已从我院(温州医科大学附属第三医院)伦理委员会获得。我们将通过在科学会议上的演讲和在同行评议期刊上的发表来传播研究结果。

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