Back to Search
Start Over
Visualization of Risk Factors and Predictive Models for Early Death of Neonatal Gastric Perforation.
- Source :
-
Clinical Pediatrics . Jul2024, Vol. 63 Issue 7, p986-994. 9p. - Publication Year :
- 2024
-
Abstract
- A retrospective analysis was performed from May 2003 to October 2021 at our hospital. One hundred and eleven neonates diagnosed with gastric perforation were categorized into non-survivor and survivor groups based on prognosis. The mortality rate was 23.42%. Logistic regression was used to analyze the factors influencing the early neonatal death. The non-survivor groups showed more abdominal distension, vomiting, hypoxia, acidosis, hyperkalemia, and coagulation abnormalities. Serum potassium concentration (odds ratio [OR] 2.148, P =.043) was an independent risk factor; however, arterial partial pressure of oxygen (OR 0.977, P =.024), bicarbonate (OR 0.779, P =.023), and platelet count (OR 0.986, P =.014) had protective effects on neonatal death. Based on this, a visualized nomogram prediction model was constructed, patients who had a nomogram score of more than 163.787 was considered to have high risks of mortality, the area under the curve of this was up to 0.828 (95% confidence interval [0.733, 0.923]), the sensitivity was 80.0%, and the specificity was 76.9%. [ABSTRACT FROM AUTHOR]
- Subjects :
- *RISK assessment
*PREDICTION models
*PLATELET count
*ABDOMINAL surgery
*LOGISTIC regression analysis
*HYPERKALEMIA
*POTASSIUM
*PERINATAL death
*RETROSPECTIVE studies
*BICARBONATE ions
*DESCRIPTIVE statistics
*PEDIATRICS
*ODDS ratio
*ARTERIAL pressure
*GASTRIC diseases
*INTENSIVE care units
*VOMITING
*CONFIDENCE intervals
*ACIDOSIS
*HYPOXEMIA
*SENSITIVITY & specificity (Statistics)
*CHILDREN
Subjects
Details
- Language :
- English
- ISSN :
- 00099228
- Volume :
- 63
- Issue :
- 7
- Database :
- Academic Search Index
- Journal :
- Clinical Pediatrics
- Publication Type :
- Academic Journal
- Accession number :
- 177461491
- Full Text :
- https://doi.org/10.1177/00099228231201315