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作者机构:Peking Union Medical College HospitalChinese Academy of Medical SciencesBeijing100730China Institute of Basic Medical SciencesChinese Academy of Medical Sciences/School of Basic MedicinePeking Union Medical CollegeBeijing100005China The First Hospital of China Medical UniversityShenyang110001China Qinghai Provincial People’s HospitalXining810007China Xiangya Hospital of Central South UniversityChangsha410008China Research DepartmentPaodingAIBeijing100083China
出 版 物:《Science China(Life Sciences)》 (中国科学(生命科学英文版))
年 卷 期:2023年第66卷第7期
页 面:1636-1646页
核心收录:
学科分类:12[管理学] 1201[管理学-管理科学与工程(可授管理学、工学学位)] 1002[医学-临床医学] 100210[医学-外科学(含:普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 081104[工学-模式识别与智能系统] 08[工学] 0835[工学-软件工程] 0811[工学-控制科学与工程] 0812[工学-计算机科学与技术(可授工学、理学学位)] 10[医学]
基 金:supported by the National Health and Family Planning Commission of China(201402017)
主 题:surgical complication network system complication grading complication prediction complication management
摘 要:Complicated relationships exist in both occurrence and progression of surgical complications,which are difficult to account for using a separate quantitative method such as prediction or *** of 51,030 surgical inpatients were collected from four academic/teaching hospitals in a prospective cohort study in *** relationship between preoperative factors,22 common complications,and death was *** input from 54 senior clinicians and following a Bayesian network approach,a complication grading,cluster-visualization,and prediction(GCP)system was designed to model pathways between grades of complication and preoperative risk factor *** the GCP system,there were 11 nodes representing six grades of complication and five preoperative risk factor clusters,and 32 arcs representing a direct *** critical targets were pinpointed on the *** status was a fundamental cause widely associated(7/32 arcs)with other risk factor clusters and *** Society of Anesthesiologists(ASA)score≥3 was directly dependent on all other risk factor clusters and influenced all severe *** III complications(mainly pneumonia)were directly dependent on4/5 risk factor clusters and affected all other grades of *** of grade,complication occurrence was more likely to increase the risk of other grades of complication than risk factor clusters.