实用医学杂志2024，Vol.40Issue(2)：140-145,6.DOI:10.3969/j.issn.1006-5725.2024.02.003
ACS NSQIP手术风险计算器预测开腹宫颈癌根治术手术风险的价值
Efficacy of the ACS NSQIP surgical risk calculator in open radical hysterectomy
摘要
Abstract
Objectives To evaluate the complications predicting efficacy of the American College of Surgeons(ACS)National Surgical Quality Improvement Program(NSQIP)surgical risk calculator for cervical cancer patients undergoing open radical hysterectomy in China.Methods This study enrolled the cervical cancer patients(139 cases)undertaken open radical hysterectomy at Women's Hospital of Nanjing Medical University from Janu-ary to December in 2021.Preoperative risk factors were abstracted from medical records and the surgical risk scores were calculated using ACS NSQIP surgical risk calculator.The association between risk scores and actual outcomes were assessed using logistic regression together with the c-statistic(area under ROC)and Brier score.Results The ACSNSQIP calculator did not predict accurately for serious complications,any complications,venous thrombo-embolism(VTE),readmission,return operation room and surgical site infection(SSI)compared with actual out-comes.There was significantly difference in the predicted and actual length of stay(3.93±0.42 days vs.13.11±4.71 days,P<0.001).Conclusions The ACS NSQIP surgical risk calculator failed to predict the postoperative complications and the length of hospital stay for cervical cancer patients undergoing open radical hysterectomy.关键词
宫颈癌/经腹根治术/术后并发症/手术风险计算器Key words
cervical cancer/open radical hysterectomy/post-operative complications/surgical risk calculator分类
医药卫生引用本文复制引用
袁盛龙,胡缓缓,贡震..ACS NSQIP手术风险计算器预测开腹宫颈癌根治术手术风险的价值[J].实用医学杂志,2024,40(2):140-145,6.基金项目
国家自然科学基金资助项目(编号:81872485) （编号:81872485）
南京市卫生科技发展专项资金资助项目(编号:ZKX21048) （编号:ZKX21048）
