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  4. Vol 5, Issue 5, 2024

Analysis of the Effectiveness of Day Surgery for Pediatric Syringomyelia and Construction of a Predictive Model for Delayed Discharge Risk

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DOI: 10.23977/medsc.2024.050512 | Downloads: 11 | Views: 279

Author(s)

Zhou Jiaxin 1, Li Long 1, Yang Peng 1, Deng Aiqing 1, Chen Jia 1

Affiliation(s)

1 Department of Urology, The First Affiliated Hospital of Hunan Normal University Hunan Provincial People's Hospital, Changsha, Hunan, 410000, China

Corresponding Author

Zhou Jiaxin

ABSTRACT

To explore the efficacy of pediatric CH under day surgery mode, the risk associated with delayed discharge, construct a risk prediction model about its delayed discharge and conduct internal validation, to improve more reasonable diagnosis and treatment advice for children with CH and enhance the communication between doctors and patients; This study retrospectively reviewed the data of 89 children who had been operated in the Day Surgery Ward and the Urology Specialized Ward of Hunan Provincial People's Hospital and who had been diagnosed with CH after surgery. The data of 89 children were retrospectively reviewed, and CH was managed by performing surgical procedures with or without drainage according to two clinical pathways: day surgery and urology. The follow-up of the children in the perioperative period, 1 week and 3-6 months after discharge, and the satisfaction survey were examined. In this way, the efficacy and safety of children with CH in the day surgery mode were evaluated. At the same time, we analyzed the preoperative and intraoperative conditions of children with CH who were discharged normally and delayed in the outpatient surgery ward, screened the risk factors related to delayed discharge using lasso logistic regression analysis, constructed a prediction model of delayed discharge risk based on R language, drew nomogram plots to visualize the model, and internally verified the predictive efficacy of the model; By means of lasso logistic regression analysis, we screened: Age, BMI, neutrophil count, anesthesia time, and blood potassium as risk factors for delayed discharge.

KEYWORDS

Traffic sheath effusion; Day surgery; Delayed discharge; Prediction model

CITE THIS PAPER

Zhou Jiaxin, Li Long, Yang Peng, Deng Aiqing, Chen Jia. Analysis of the Effectiveness of Day Surgery for Pediatric Syringomyelia and Construction of a Predictive Model for Delayed Discharge Risk. MEDS Clinical Medicine (2024) Vol. 5: 78-87. DOI: http://dx.doi.org/10.23977/medsc.2024.050512.

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