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  1. 1301
    ObjectiveTo establish a nomogram for predicting the risk of post-hepatectomy complications (PHC) in hepatic echinococcosis by analyzing the risk factors for PHC in two types of hepatic echinococcosis, and to investigate its value in clinical practice. MethodsA retrospective analysis was performed for the clinical data of 263 patients with two types of hepatic echinococcosis who underwent hepatectomy in Qinghai University Affiliated Hospital from January 2015 to August 2020, and among these patients, 93 were enrolled as PHC group and 170 were enrolled as control group. The Mann-Whitney U test was used for comparison of non-normally distributed continuous data between two groups, and the independent samples t-test was used for comparison of normally distributed continuous data between two groups; the chi-square test and the Fisher’s exact test were used for comparison of categorical data between two groups. Univariate and multivariate logistic regression analyses were used to screen out independent risk factors for PHC, and a nomogram risk prediction model was established based on the weight of each independent risk factor. The Bootstrap resampling method was used for internal verification of the model; the receiver operating characteristic (ROC) curve was plotted to evaluate the discriminatory ability of the model; calibration curve and the Hosmer-Lemeshow test were used to evaluate the consistency of the model; decision curve analysis (DCA) was performed to verify the clinical effectiveness of the model. ResultsAlbumin-bilirubin (ALBI) score (odds ratio ［OR］=3.694, 95% confidence interval ［CI］: 1.860-7336, P＜0.05), time of operation (OR=2.848, 95%CI: 1.384-5.859, P＜0.05), intraoperative blood loss (OR=4.832, 95%CI: 2.384-9.793, P＜0.05), and hydatid diameter (OR=3.073, 95%CI: 1.528-6.177, P＜0.05) were independent risk factors for PHC in two types of hepatic echinococcosis. A nomogram risk prediction model was established based on the weight of the above four independent risk factors, and the model had an area under the ROC curve of 0.877 (95%CI: 0.831-0.923). The model had a consistency index of 0.871 after internal verification using the Bootstrap resampling method, suggesting that the model had good discriminatory ability. The fitting of the observed value and the actual value of the calibration curve and the Hosmer-Lemeshow test (P=0.905) showed that the predicted value of the nomogram risk prediction model had good consistency with the actual observed value. When the threshold probability was 35.6%, DCA showed a net clinical benefit of 22%, and the model had good clinical applicability within the threshold probability ranging from 8% to 89%. ConclusionALBI score, time of operation, intraoperative blood loss, and hydatid diameter are independent risk factors for PHC in patients with two types of hepatic echinococcosis, and the nomogram risk prediction model established based on these factors has good accuracy, consistency, and clinical practicability.
    por LI Hongye
    Publicado 2021
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  2. 1302
    Nationalities papers
    Materias: “...Commonwealth of Independent States. unbisn...”
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    Electrónico Revista
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  3. 1303
    Un nuevo estado para un nuevo orden mundial : la independencia de Eslovenia /
    por González Villa, Carlos
    Publicado 2019
    “...Slovenia History Autonomy and independence movements....”
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  4. 1304
    الاستقلال الفلسفي والتجديد عند طه عبد الرحمن
    por نور الدين بن قدور
    Publicado 2018
    Materias: “... - Creative philosophical independence -Philosophical space - Original concepts - Epistemological critique...”
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  5. 1305
    El sur en revolución : la insurgencia en el Río de la Plata, Chile y el Alto Perú /
    Publicado 2016
    “...Argentina History War of Independence, 1810-1817....”
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  6. 1306
    Russian politics and law
    Publicado 1992
    Materias: “...COMMONWEALTH OF INDEPENDENT STATES. unbist...”
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    Electrónico Revista
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  7. 1307
    Después del bicentenario : políticas de la conmemoración, temporalidad y nación : Colombia y México, 2010 /
    por Vargas Álvarez, Sebastián
    Publicado 2018
    “...Colombia History War of Independence, 1810-1822....”
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  8. 1308
    Jamás ha llovido reyes el cielo : de independencias, revoluciones y liberalismos en Iberoamérica /
    Publicado 2013
    “...Latin America History Autonomy and independence movements....”
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  9. 1309
    España y la independencia de Colombia, 1810-1825 /
    por Earle, Rebecca
    Publicado 2014
    “...Spain and the independence of Colombia 1810-1825....”
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  10. 1310
    Los inicios del gobierno representativo en la República de Colombia : 1818-1821 /
    “...Colombia History War of Independence, 1810-1822....”
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  11. 1311
    La república imaginada : representaciones culturales y discursos políticos en la época /
    por Rojas Rojas, Rolando
    Publicado 2017
    “...Peru History War of Independence, 1820-1829....”
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  12. 1312
    Epistolario belgraniano
    por Belgrano, Manuel
    Publicado 2001
    “...Argentina History War of Independence, 1810-1817....”
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  13. 1313
    Metáfora y realidad de la independencia en el Perú /
    por Bonilla, Heraclio
    Publicado 2016
    “...Peru History War of Independence, 1820-1829....”
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  14. 1314
    Proclamas y otros escritos /
    por Mina Larrea, Xavier
    Publicado 2012
    “...Mexico History Wars of Independence, 1810-1821....”
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  15. 1315
    La independencia de América : primer centenario, segundo centenario /
    Publicado 2012
    “...Latin America History Wars of Independence, 1806-1830....”
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  16. 1316
    La revolución y la fe : una antología general /
    por Mier, Servando Teresa de, Fray
    Publicado 2013
    “...Mexico History Wars of Independence, 1810-1821....”
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  17. 1317
    La revolución bolivariana /
    por Bolívar, Simón
    Publicado 2011
    “...Latin America History Wars of Independence, 1806-1830....”
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  18. 1318
    1816 : el terror y la sangre sublime /
    Publicado 2016
    “...Colombia History War of Independence, 1810-1822....”
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  19. 1319
    La consumación de la Independencia /
    por Zavala, Lorenzo de
    Publicado 2018
    “...Mexico History Wars of Independence, 1810-1821....”
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  20. 1320
    Las Españas y las Américas : los españoles de ambos hemisferios ante la crisis de independencia /
    Publicado 2012
    “...Latin America History Wars of Independence, 1806-1830....”
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