E-viri
Recenzirano
-
Kraemer, Kari, PhD; Cohen, Mark E., PhD; Liu, Yaoming, PhD; Barnhart, Douglas C., MD; Rangel, Shawn J., MD, MSCE; Saito, Jacqueline M., MD, MSCI, FACS; Bilimoria, Karl Y., MD, MS, FACS; Ko, Clifford Y., MD, MS, MSHS, FACS; Hall, Bruce L., MD, PhD, MBA, FACS
Journal of the American College of Surgeons, 11/2016, Letnik: 223, Številka: 5Journal Article
Abstract Background There is an increased desire of patients and families to be involved in the surgical decision making process. A surgeon’s ability to provide patients and families with patient-specific estimates of postoperative complications is critical for shared decision making and informed consent. Surgeons can also use patient-specific risk estimates to decide whether or not to operate and what options to give to patients. Our objective was to develop and evaluate a publicly available risk estimation tool that would cover many common pediatric surgical procedures across all specialties. Study Design ACS NSQIP Pediatric standardized data from 67 hospitals were used to develop a risk estimation tool. Surgeons enter 18 preoperative variables (demographics, comorbidities, procedure) that are used in a logistic regression model to predict nine postoperative outcomes. A surgeon adjustment score is also incorporated to adjust for any additional risk not accounted for in the 18 risk factors. Results A pediatric surgical risk calculator was developed based on 181,353 cases covering 382 CPT codes across all specialties. It had excellent discrimination for mortality (c-statistic=0.98), morbidity (c-statistic=0.81), and 7 additional complications (c-statistics>0.77). The HL statistic and graphical representations also showed excellent calibration. Conclusions The ACS NSQIP Pediatric Surgical Risk Calculator was developed using standardized and audited, multi-institutional data from the ACS NSQIP Pediatric and provides empirically derived, patient-specific postoperative risks. It can be used as a tool in the shared decision making process by providing clinicians, families, and patients with useful information for many of the most common operations performed on pediatric patients in the U.S.
![loading ... loading ...](themes/default/img/ajax-loading.gif)
Vnos na polico
Trajna povezava
- URL:
Faktor vpliva
Dostop do baze podatkov JCR je dovoljen samo uporabnikom iz Slovenije. Vaš trenutni IP-naslov ni na seznamu dovoljenih za dostop, zato je potrebna avtentikacija z ustreznim računom AAI.
Leto | Faktor vpliva | Izdaja | Kategorija | Razvrstitev | ||||
---|---|---|---|---|---|---|---|---|
JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
Baze podatkov, v katerih je revija indeksirana
Ime baze podatkov | Področje | Leto |
---|
Povezave do osebnih bibliografij avtorjev | Povezave do podatkov o raziskovalcih v sistemu SICRIS |
---|
Vir: Osebne bibliografije
in: SICRIS
To gradivo vam je dostopno v celotnem besedilu. Če kljub temu želite naročiti gradivo, kliknite gumb Nadaljuj.