胃癌术后心肌损伤的诊断有助于早期发现术后并发症。

IF 2.5 3区医学 Q2 SURGERY

World Journal of Surgery Pub Date : 2025-10-01 Epub Date: 2025-09-11 DOI:10.1002/wjs.70090

Yasunori Matsumoto, Shinichiro Iida, Yuri Nishioka, Ryota Otsuka, Koichi Hayano, Yoshihiro Kurata, Takeshi Toyozumi, Tadashi Shiraishi, Nobufumi Sekino, Hisahiro Matsubara

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引用次数: 0

摘要

以炎症并发症为结局的POD 1、3患者CRP、D-Amy和WBC的受试者工作曲线（ROC）分析。CRP 5.0 mg/dL (AUC: 0.748), D-Amy 560 U/L (AUC: 0.683), WBC 7000/μL (AUC: 0.467)；CRP 14.0 mg/dL (AUC: 0。D-Amy为134 U/L (AUC: 0.796)， WBC为9900/μL （AUC: 0.701）。在多变量分析中，MINS阳性是炎症并发症的预测因子，独立于CRP对POD1的影响（OR 17.62, 95% CI 3.76-109.88, p = 0.0002）。AUC：曲线下面积，POD：术后天数。

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Diagnosis of Postoperative Myocardial Injury After Gastric Cancer Surgery May Contribute to the Early Detection of Postoperative Complications.

Receiver operation curve (ROC) analysis on CRP, D-Amy, and WBC on POD 1 and 3 with inflammatory complications as outcome. CRP 5.0 mg/dL (AUC: 0.748), D-Amy 560 U/L (AUC: 0.683), and WBC 7000/μL (AUC: 0.467) on POD 1; CRP 14.0 mg/dL (AUC: 0. 885), D-Amy 134 U/L (AUC: 0.796), and WBC 9900/μL (AUC: 0.701) on POD 3. In multivariate analysis, MINS positivity was a predictor of inflammatory complications, independent of CRP on POD1 (OR 17.62, 95% CI 3.76-109.88, p = 0.0002). AUC: area under the curve and POD: postoperative day.

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来源期刊

World Journal of Surgery 医学-外科

CiteScore

5.10

自引率

3.80%

发文量

460

审稿时长

3 months

期刊介绍： World Journal of Surgery is the official publication of the International Society of Surgery/Societe Internationale de Chirurgie (iss-sic.com). Under the editorship of Dr. Julie Ann Sosa, World Journal of Surgery provides an in-depth, international forum for the most authoritative information on major clinical problems in the fields of clinical and experimental surgery, surgical education, and socioeconomic aspects of surgical care. Contributions are reviewed and selected by a group of distinguished surgeons from across the world who make up the Editorial Board.