THE IMPORTANCE OF THE RISK FACTORS OF PURULENT-SEPTIC COMPLICATIONS DEVELOPMENT
The influence of several factors, impacting on the development of purulent-septic complications in newborns with congenital gastrointestinal tract malformations was studied. As independent variables they were chosen both binary and numeral ones. Furthermore, the authors investigated the combined eff...
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Format: | Article |
Language: | English |
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"Paediatrician" Publishers LLC
2012-07-01
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Series: | Вопросы современной педиатрии |
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Online Access: | https://vsp.spr-journal.ru/jour/article/view/459 |
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author | A. N. Obedin S. V. Minaev I. V. Kirgizov A. E. Aleksandrov E. A. Tovkan N. M. Romaneeva T. A. Khoranova L. A. Сhitaeva |
author_facet | A. N. Obedin S. V. Minaev I. V. Kirgizov A. E. Aleksandrov E. A. Tovkan N. M. Romaneeva T. A. Khoranova L. A. Сhitaeva |
author_sort | A. N. Obedin |
collection | DOAJ |
description | The influence of several factors, impacting on the development of purulent-septic complications in newborns with congenital gastrointestinal tract malformations was studied. As independent variables they were chosen both binary and numeral ones. Furthermore, the authors investigated the combined effect of different factors of pre-admission (primary and secondary) medical care, which had shown a high possibility of influence on the complications development during the preliminary analysis. The total amount of various analyzed predicting factors of purulent-septic complications after surgical procedures was 42. Three main groups of risk factors were established. These groups were associated with: 1) type of the performed post-operative analgesia and child sex; 2) disturbances of the intestinal wall permeability; 3) disturbances of the intestinal wall perfusion. In order to develop an appropriate model the method of logistic regression with variables normalization quazi-Newton approach was used. This model has high enough possibilities to predict both positive (risk of purulent-septic complications) and negative (absence of such risk) results. The rate of correctly predicted cases ofcomplications is 76%, the rate of their absence — 84%. |
first_indexed | 2024-03-12T04:22:06Z |
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id | doaj.art-8677dd6afa8d41c9aabc7fd92eeded55 |
institution | Directory Open Access Journal |
issn | 1682-5527 1682-5535 |
language | English |
last_indexed | 2024-03-12T04:22:06Z |
publishDate | 2012-07-01 |
publisher | "Paediatrician" Publishers LLC |
record_format | Article |
series | Вопросы современной педиатрии |
spelling | doaj.art-8677dd6afa8d41c9aabc7fd92eeded552023-09-03T10:32:58Zeng"Paediatrician" Publishers LLCВопросы современной педиатрии1682-55271682-55352012-07-01114909410.15690/vsp.v11i4.364459THE IMPORTANCE OF THE RISK FACTORS OF PURULENT-SEPTIC COMPLICATIONS DEVELOPMENTA. N. Obedin0S. V. Minaev1I. V. Kirgizov2A. E. Aleksandrov3E. A. Tovkan4N. M. Romaneeva5T. A. Khoranova6L. A. Сhitaeva7Ставропольская государственная медицинская академияСтавропольская государственная медицинская академияНаучный центр здоровья детей РАМН, Москва Первый Московский государственный медицинский университет им. И.М. СеченоваНаучный центр здоровья детей РАМН, Москва; Первый Московский государственный медицинский университет им. И.М. СеченоваКраевая детская клиническая больница, СтавропольСтавропольская государственная медицинская академияСтавропольская государственная медицинская академияСтавропольская государственная медицинская академияThe influence of several factors, impacting on the development of purulent-septic complications in newborns with congenital gastrointestinal tract malformations was studied. As independent variables they were chosen both binary and numeral ones. Furthermore, the authors investigated the combined effect of different factors of pre-admission (primary and secondary) medical care, which had shown a high possibility of influence on the complications development during the preliminary analysis. The total amount of various analyzed predicting factors of purulent-septic complications after surgical procedures was 42. Three main groups of risk factors were established. These groups were associated with: 1) type of the performed post-operative analgesia and child sex; 2) disturbances of the intestinal wall permeability; 3) disturbances of the intestinal wall perfusion. In order to develop an appropriate model the method of logistic regression with variables normalization quazi-Newton approach was used. This model has high enough possibilities to predict both positive (risk of purulent-septic complications) and negative (absence of such risk) results. The rate of correctly predicted cases ofcomplications is 76%, the rate of their absence — 84%.https://vsp.spr-journal.ru/jour/article/view/459новорожденныеврожденные пороки развития желудочно-кишечного трактаi-fabp |
spellingShingle | A. N. Obedin S. V. Minaev I. V. Kirgizov A. E. Aleksandrov E. A. Tovkan N. M. Romaneeva T. A. Khoranova L. A. Сhitaeva THE IMPORTANCE OF THE RISK FACTORS OF PURULENT-SEPTIC COMPLICATIONS DEVELOPMENT Вопросы современной педиатрии новорожденные врожденные пороки развития желудочно-кишечного тракта i-fabp |
title | THE IMPORTANCE OF THE RISK FACTORS OF PURULENT-SEPTIC COMPLICATIONS DEVELOPMENT |
title_full | THE IMPORTANCE OF THE RISK FACTORS OF PURULENT-SEPTIC COMPLICATIONS DEVELOPMENT |
title_fullStr | THE IMPORTANCE OF THE RISK FACTORS OF PURULENT-SEPTIC COMPLICATIONS DEVELOPMENT |
title_full_unstemmed | THE IMPORTANCE OF THE RISK FACTORS OF PURULENT-SEPTIC COMPLICATIONS DEVELOPMENT |
title_short | THE IMPORTANCE OF THE RISK FACTORS OF PURULENT-SEPTIC COMPLICATIONS DEVELOPMENT |
title_sort | importance of the risk factors of purulent septic complications development |
topic | новорожденные врожденные пороки развития желудочно-кишечного тракта i-fabp |
url | https://vsp.spr-journal.ru/jour/article/view/459 |
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