• 
    

    
    

      99热精品在线国产_美女午夜性视频免费_国产精品国产高清国产av_av欧美777_自拍偷自拍亚洲精品老妇_亚洲熟女精品中文字幕_www日本黄色视频网_国产精品野战在线观看 ?

      A prospective evaluation of preoperative risk evaluation system for geriatric orthopedic patients

      2011-08-15 00:54:32AnShuaiDeptOrthopXuanwuHospCapMedUnivBeijing100053ChinOrthopTrauma201113140143
      外科研究與新技術(shù) 2011年2期

      安 帥(An Shuai,Dept Orthop,Xuanwu Hosp,Cap Med Univ,Beijing 100053)… ∥ Chin J Orthop Trauma.-2011,13(2).-140~143

      A prospective evaluation of preoperative risk evaluation system for geriatric orthopedic patients

      安 帥(An Shuai,Dept Orthop,Xuanwu Hosp,Cap Med Univ,Beijing 100053)… ∥ Chin J Orthop Trauma.-2011,13(2).-140~143

      ObjectiveTo evaluate the correlation and efficacy of Preoperative Risk Evaluation System for Geriatric Orthopedic Patients(PRESGOP),Acute Physiology and Chronic Health Evaluation(APACHE)and Physiological and Operative Score for the Enumeration of Mortality and Morbidity(POSSUM)in predicting the postoperative complications and mortality in old orthopedic patients.MethodsFrom January,2009 to February,2010,404 geriatric orthopedic patients who underwent surgery in our department were enrolled in the present prospective trial.All cases were divided into 4 groups according to presence or absence of complication and death respectively.The 4 groups were evaluated by PRESGOP,APACHE and POSSUM scoring systmes and then compared using T test.The 3 kinds of scores were also compared for their correlations and Receiver Operating Characteristic(ROC)curves.ResultsComparisons of the complication and complication-free groups,only in PRESGOP death and death-free groups have significant differences(P<0.05).The Pearson correlative coefficient of PRESGOP and APACHE was 0.300,while that of PRESGOP and POSSUM was 0.538.The correlative coefficient of APACHE and POSSUM was 0.490.The areas under ROC curve associated with 3 total scores accumulated and complications were 0.771(PRESGOP),0.634(APACHE),and 0.751(POSSUM).And the areas under ROC curve depicted by 3 predictive mortalities were 0.920(PRESGOP),0.877(APACHE),and 0.836(POSSUM).ConclusionThe 3 evaluation systmes are correlative and valid in predicting postoperative complications and mortality in old orthopedic patients.The PRESGOP systme may be more exact in predictive efficacy for Chinese old orthopaedic patients.6 refs,2 figs,4 tabs.

      (Authors)

      柞水县| 嘉兴市| 和顺县| 凤城市| 会同县| 新民市| 仁寿县| 德令哈市| 昭通市| 满城县| 丹凤县| 许昌县| 盘山县| 宝兴县| 郯城县| 安义县| 镇平县| 六枝特区| 什邡市| 怀集县| 巴中市| 南皮县| 丹凤县| 含山县| 拜泉县| 托克逊县| 自贡市| 安福县| 克什克腾旗| 梨树县| 濮阳市| 南平市| 巨鹿县| 色达县| 长宁区| 雷山县| 闸北区| 团风县| 浙江省| 惠水县| 比如县|