Comparative analysis of assessment methods for operational and anesthetic risks in ulcerative gastroduodenal bleeding

Aim of the investigation: to conduct a comparative analysis of methods of evaluation of surgical and anesthetic risks in ulcerative gastroduodenal bleeding. Materials and methods. A retrospective analysis ofthe extent of the surgical and anesthetic risks and results of treatment of 71 patients with...

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Main Authors: Potakhin S.N., Shapkin Yu.G., Vlasova M.A., Nikitin V.A.
Format: Article
Language:Russian
Published: Saratov State Medical University 2015-09-01
Series:Саратовский научно-медицинский журнал
Subjects:
Online Access:http://www.ssmj.ru/system/files/2015_03_323-327.pdf
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author Potakhin S.N.
Shapkin Yu.G.
Vlasova M.A.
Nikitin V.A.
author_facet Potakhin S.N.
Shapkin Yu.G.
Vlasova M.A.
Nikitin V.A.
author_sort Potakhin S.N.
collection DOAJ
description Aim of the investigation: to conduct a comparative analysis of methods of evaluation of surgical and anesthetic risks in ulcerative gastroduodenal bleeding. Materials and methods. A retrospective analysis ofthe extent of the surgical and anesthetic risks and results of treatment of 71 patients with peptic ulcer bleeding has been conducted in the study. To evaluate the surgical and anesthetic risks classification trees are used, scale ТА. Rockall and prognosis System of rebleeding (SPRK), proposed by N. V. Lebedev et al. in 2009, enabling to evaluate the probability of a fatal outcome. To compare the efficacy ofthe methods the following indicators are used: sensitivity, specificity and prediction of positive result. Results. The study compared the results ofthe risk assessment emergency operation by using these methods with the outcome ofthe operation. The comparison ofthe prognosis results in sensitivity leads to the conclusion that the scales ТА. Rockall and SPRK are worse than the developed method of classification trees in recognizing patients with poor outcome of surgery. Conclusion. The method of classification trees can be considered as the most accurate method of evaluation of surgical and anesthetic risks in ulcerative gastroduodenal bleeding.
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spelling doaj.art-17d3bb47c55f481d92f6323c3b02d1652022-12-21T18:27:47ZrusSaratov State Medical UniversityСаратовский научно-медицинский журнал2076-25182015-09-011133233274104Comparative analysis of assessment methods for operational and anesthetic risks in ulcerative gastroduodenal bleedingPotakhin S.N.0Shapkin Yu.G.1Vlasova M.A.2Nikitin V.A.3Saratov State Medical UniversitySaratov State Medical UniversitySaratov State Medical UniversitySaratov State Medical UniversityAim of the investigation: to conduct a comparative analysis of methods of evaluation of surgical and anesthetic risks in ulcerative gastroduodenal bleeding. Materials and methods. A retrospective analysis ofthe extent of the surgical and anesthetic risks and results of treatment of 71 patients with peptic ulcer bleeding has been conducted in the study. To evaluate the surgical and anesthetic risks classification trees are used, scale ТА. Rockall and prognosis System of rebleeding (SPRK), proposed by N. V. Lebedev et al. in 2009, enabling to evaluate the probability of a fatal outcome. To compare the efficacy ofthe methods the following indicators are used: sensitivity, specificity and prediction of positive result. Results. The study compared the results ofthe risk assessment emergency operation by using these methods with the outcome ofthe operation. The comparison ofthe prognosis results in sensitivity leads to the conclusion that the scales ТА. Rockall and SPRK are worse than the developed method of classification trees in recognizing patients with poor outcome of surgery. Conclusion. The method of classification trees can be considered as the most accurate method of evaluation of surgical and anesthetic risks in ulcerative gastroduodenal bleeding.http://www.ssmj.ru/system/files/2015_03_323-327.pdfassessment methodscomparative analysisulcerative gastroduodenal bleeding
spellingShingle Potakhin S.N.
Shapkin Yu.G.
Vlasova M.A.
Nikitin V.A.
Comparative analysis of assessment methods for operational and anesthetic risks in ulcerative gastroduodenal bleeding
Саратовский научно-медицинский журнал
assessment methods
comparative analysis
ulcerative gastroduodenal bleeding
title Comparative analysis of assessment methods for operational and anesthetic risks in ulcerative gastroduodenal bleeding
title_full Comparative analysis of assessment methods for operational and anesthetic risks in ulcerative gastroduodenal bleeding
title_fullStr Comparative analysis of assessment methods for operational and anesthetic risks in ulcerative gastroduodenal bleeding
title_full_unstemmed Comparative analysis of assessment methods for operational and anesthetic risks in ulcerative gastroduodenal bleeding
title_short Comparative analysis of assessment methods for operational and anesthetic risks in ulcerative gastroduodenal bleeding
title_sort comparative analysis of assessment methods for operational and anesthetic risks in ulcerative gastroduodenal bleeding
topic assessment methods
comparative analysis
ulcerative gastroduodenal bleeding
url http://www.ssmj.ru/system/files/2015_03_323-327.pdf
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AT shapkinyug comparativeanalysisofassessmentmethodsforoperationalandanestheticrisksinulcerativegastroduodenalbleeding
AT vlasovama comparativeanalysisofassessmentmethodsforoperationalandanestheticrisksinulcerativegastroduodenalbleeding
AT nikitinva comparativeanalysisofassessmentmethodsforoperationalandanestheticrisksinulcerativegastroduodenalbleeding