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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 :
- Complementary Index
- Journal :
- Clinical Pediatrics
- Publication Type :
- Academic Journal
- Accession number :
- 177461491
- Full Text :
- https://doi.org/10.1177/00099228231201315