Volume 21 Issue 5
May  2023
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(5): 732-735
WANG Li, NI Chunmei, QIU Li, XU Jinmei, WANG Bei. Construction and validation of a risk prediction model for complications after bronchial foreign body removal in children[J]. Chinese Journal of General Practice, 2023, 21(5): 732-735. doi: 10.16766/j.cnki.issn.1674-4152.002970
Citation: WANG Li, NI Chunmei, QIU Li, XU Jinmei, WANG Bei. Construction and validation of a risk prediction model for complications after bronchial foreign body removal in children[J]. Chinese Journal of General Practice, 2023, 21(5): 732-735. doi: 10.16766/j.cnki.issn.1674-4152.002970
shu

Construction and validation of a risk prediction model for complications after bronchial foreign body removal in children

doi: 10.16766/j.cnki.issn.1674-4152.002970

  • Department of Pediatrics, the Affiliated Hospital of Yangzhou University, Yangzhou, Jiangsu 225000, China

Funds:

 M2021076

  • Received Date: 2023-01-05
    Abstract
  •   Objective  To establish a predictive model for postoperative complications in children with laryngeal edema after removal of bronchial foreign bodies, so as to provide evidence for clinical prevention and treatment.  Methods  A total of 107 children with bronchial foreign bodies admitted to the Affiliated Hospital of Yangzhou University from January 2000 to December 2022 were selected as the study objects children with bronchial foreign bodies treated in the Affiliated Hospital of Yangzhou University were selected as research subjects, and were randomly divided into modeling group (74 cases) and verification group (33 cases) according to the ratio of 7:3, using the random number table method. The modeling group was divided into complication group (12 cases) and non-complication group (62 cases) according to whether complications occurred 3 months after surgery. Logistic regression was used to analyze the factors influencing complications after removal of bronchial foreign bodies. The R software was used to construct a prediction model and the model was verified.  Results  Older age (P < 0.001), longer disease duration (P < 0.001), longer length diameter of the foreign body (P < 0.001) and longer time from diagnosis to removal (P < 0.029) were independent risk factors for postoperative complications of bronchial foreign body removal in children (P < 0.05). H-L fit curve (validity) shows that modeling group χ2=6.856, P=0.427; verification group χ2=6.125, P=0.351. The ROC curve (differentiation) showed that the area under ROC curve of the modeling group was 0.901 (95% CI: 0.862-0.933), the sensitivity was 82.61% and the specificity was 86.22%. In the verification group, the area under the ROC curve was 0.852 (95% CI: 0.806-0.890), the sensitivity was 82.61% and the specificity was 73.62%.  Conclusion  Older age, longer disease duration, longer foreign body length and longer time from diagnosis to removal are independent risk factors for postoperative complications of bronchial foreign body removal in children.

     

    • FullText(HTML)
  • loading
    • References(17)
  • [1]
    中华医学会耳鼻咽喉头颈外科学分会小儿学组. 中国儿童气管支气管异物诊断与治疗专家共识[J]. 中华耳鼻咽喉头颈外科杂志, 2018, 53(5): 325-338.

    Pediatric Group, Otolaryngology, Head and Neck Surgery Society of Chinese Medical Association. Expert consensus on diagnosis and treatment of tracheobronchial foreign body in children in China[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2018, 53(5): 325-338.
    [2]
    董伟然, 安淑华, 李权恒, 等. 儿童支气管异物潮气肺功能特征分析[J]. 山东医药, 2021, 61(5): 63-66. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYY202105021.htm

    DONG W R, AN S H, LI Q H, et al. Analysis of moisture lung function characteristics of children with bronchial foreign body[J]. Shandong Medical Journal, 2021, 61(5): 63-66. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYY202105021.htm
    [3]
    王宁波, 尚婉媛, 朱丽, 等. 小儿气管支气管异物临床特点及术后并发症危险因素分析[J]. 安徽医学, 2021, 42(1): 75-78. https://www.cnki.com.cn/Article/CJFDTOTAL-AHYX202101019.htm

    WANG N B, SHANG W Y, ZHU L, et al. Clinical characteristics and risk factors of postoperative complications of tracheobronchial foreign body in children[J]. Anhui Medical Journal, 2021, 42(1): 75-78. https://www.cnki.com.cn/Article/CJFDTOTAL-AHYX202101019.htm
    [4]
    曹芳, 方识进, 华山, 等. 电子纤维支气管镜治疗小儿气管支气管异物101例临床疗效分析[J]. 安徽医药, 2020, 24(2): 370-372. https://www.cnki.com.cn/Article/CJFDTOTAL-AHYY202002041.htm

    CAO F, FANG S J, HUA S, et al. Clinical effect analysis of electronic fiber bronchoscope for treating 101 cases of tracheobronchial foreign body in children[J]. Anhui Medical and Pharmaceutical Journal, 2020, 24(2): 370-372. https://www.cnki.com.cn/Article/CJFDTOTAL-AHYY202002041.htm
    [5]
    ONAKPOYA U U, EYEKPEGHA O J, OJO O O, et al. Surgical outcome of treatment of tracheobronchial foreign bodies in children: a retrospective analysis[J]. West Afr J Med, 2021, 38(7): 684-688.
    [6]
    黄方名, 李东海, 王文忠. 3例食管异物引起颈周气肿及脓肿的临床分析[J]. 中华全科医学, 2019, 17(3): 518-520. doi: 10.16766/j.cnki.issn.1674-4152.000723

    HUANG F M, LI D H, WANG W Z. Clinical analysis of 3 cases of pericervical emphysema and abscess caused by esophageal foreign bodies[J]. Chinese Journal of General Practice, 2019, 17(3): 518-520. doi: 10.16766/j.cnki.issn.1674-4152.000723
    [7]
    胡亚美, 江载芳. 诸福棠实用儿科学[M]. 北京: 人民卫生出版社, 2002: 1165-1167.

    HU Y M, JIANG Z F. Zhu Futang Practical Pediatrics[M]. Beijing: People's Medical Publishing House, 2002: 1165-1167.
    [8]
    黄桂亮, 孙昌志, 罗仁忠, 等. 硬性支气管镜联合纤维支气管镜在治疗小儿肺段支气管异物的应用[J]. 山东大学耳鼻喉眼学报, 2022, 36(1): 91-94. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYU202201017.htm

    HUANG G L, SUN C Z, LUO R Z, et al. Application of rigid bronchoscope combined with fiber bronchoscope in treatment of bronchial foreign body in pulmonary segment in children[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 91-94. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYU202201017.htm
    [9]
    DING G, WU B, VINTURACHE A, et al. Tracheobronchial foreign body aspiration in children: a retrospective single-center cross-sectional study[J]. Medicine (Baltimore), 2020, 99(22): 2048-2054.
    [10]
    国家卫生健康委员会人才交流服务中心儿科呼吸内镜诊疗技术项目专家组, 中国医师协会儿科医师分会内镜专业委员会, 中国医师协会内镜医师分会儿科呼吸内镜专业委员会, 等. 中国儿童气道异物呼吸介入诊疗专家共识[J]. 中华实用儿科临床杂志, 2021, 36(15): 1121-1137.

    Pediatric respiratory endoscopy Diagnosis and Treatment Technology Project Expert Group, Talent Exchange Service Center of National Health Commission, Specialty Committee of Endoscopy of Pediatricians Branch of Chinese Medical Doctor Association, Specialty Committee of Pediatric respiratory endoscopy of Endoscopy Branch of Chinese Medical Doctor Association, etc. Expert consensus on the diagnosis and treatment of airway foreign body respiratory intervention in children in China[J]. Chinese Journal of Applied Clinical Pediatrics|Chin J Appl Clin Pediatr, 2021, 36(15): 1121-1137.
    [11]
    鲁燕飞, 金平. 儿童呼吸道异物发生状况及影响因素分析[J]. 中国妇幼保健, 2020, 35(15): 2832-2834. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB202015032.htm

    LU Y F, JIN P. Analysis of the occurrence and influencing factors of foreign body in children's respiratory tract[J]. Maternal and Child Health Care of China, 2020, 35(15): 2832-2834. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB202015032.htm
    [12]
    陈莉莉, 吴谨准, 陈先睿, 等. 儿童气管支气管异物临床特征分析(附228例报告)[J]. 中国实用儿科杂志, 2019, 1(9): 785-788. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSEK201909015.htm

    CHEN L L, WU J Z, CHEN XIANRUI, et al. Clinical characteristics of tracheobronchial foreign bodies in children (report of 228 cases)[J]. Chinese Journal of Practical Pediatrics, 2019, 1(9): 785-788. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSEK201909015.htm
    [13]
    陈峻, 段金涛, 杨丽红, 等. 200例儿童消化道异物的临床特点及并发症影响因素分析[J]. 实用临床医药杂志, 2021, 25(8): 72-75. https://www.cnki.com.cn/Article/CJFDTOTAL-XYZL202108017.htm

    CHEN J, DUAN JT, YANG L H, et al. Analysis of clinical characteristics and influencing factors of complications of foreign bodies in digestive tract in 200 children[J]. Journal of Clinical Medicine in Practice, 2021, 25(8): 72-75. https://www.cnki.com.cn/Article/CJFDTOTAL-XYZL202108017.htm
    [14]
    祖金艳, 马静, 栾晓云, 等. 云南地区儿童气道异物取出术严重并发症相关因素的分析[J]. 中国医学文摘: 耳鼻咽喉科学, 2019, 34(5): 332-334. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYEB201905004.htm

    ZU J Y, MA J, LUAN X Y, et al. Analysis of the related factors of serious complications of foreign body extraction in children's airway in Yunnan[J]. Chinese Medical Digest : Otorhinolaryngology, 2019, 34(5): 332-334. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYEB201905004.htm
    [15]
    孔阳, 于淑霞, 陈娟, 等. 上消化道异物内镜处理的临床研究及其相关因素分析[J]. 中国临床医生杂志, 2019, 47(7): 804-806. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLYS201907018.htm

    KONG Y, YU S X, CHEN J, et al. Clinical study on endoscopic treatment of foreign bodies in the upper digestive tract and analysis of related factors[J]. Chinese Journal of Clinicians, 2019, 47(7): 804-806. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLYS201907018.htm
    [16]
    代丽丽, 汤维, 解道宇, 等. 慢性鼻窦炎患者鼻内窥镜术后嗅觉改善不佳的预测模型构建分析[J]. 中华全科医学, 2022, 20(2): 246-250. doi: 10.16766/j.cnki.issn.1674-4152.002324

    DAI L L, TANG W, XIE D Y, et al. Analysis of the predictive model of poor olfactory improvement in patients with chronic sinusitis after endoscopic sinus surgery[J]. Chinese Journal of General Practice, 2022, 20(2): 246-250. doi: 10.16766/j.cnki.issn.1674-4152.002324
    [17]
    周佩佩, 吴亚楠, 王莹, 等. 气管支气管异物致患儿下呼吸道感染的危险因素[J]. 中华实验和临床感染病杂志: 电子版, 2021, 15(4): 276-280. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSGR202104010.htm

    ZHOU P P, WU Y N, WANG Y, et al. Risk factors of lower respiratory tract infection in children caused by tracheobronchial foreign bodies[J]. Chinese Journal of Experimental and Clinical Infectious Diseases: Electronic Edition, 2021, 15(4): 276-280. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSGR202104010.htm
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(5)  / Tables(2)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (183) PDF downloads(24) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return