Survival predictive model for severe trauma patients using proteases/antiproteases system components
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2020-11-28 15:20
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616-001-037:577.152.34 (1)
Patologie. Medicină clinică (6963)
Bazele materiale ale vieții. Biochimie. Biologie moleculară. Biofizică (664)
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ARNAUT, Oleg, GRABOVSCHI, Ion. Survival predictive model for severe trauma patients using proteases/antiproteases system components. In: Moldovan Medical Journal, 2020, nr. 3(63), pp. 38-42. ISSN 2537-6373. DOI: https://doi.org/10.5281/zenodo.3958553
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Moldovan Medical Journal
Numărul 3(63) / 2020 / ISSN 2537-6373 /ISSNe 2537-6381

Survival predictive model for severe trauma patients using proteases/antiproteases system components

DOI:https://doi.org/10.5281/zenodo.3958553
CZU: 616-001-037:577.152.34

Pag. 38-42

Arnaut Oleg, Grabovschi Ion
 
”Nicolae Testemițanu” State University of Medicine and Pharmacy
 
Proiecte:
 
Disponibil în IBN: 4 septembrie 2020


Rezumat

Background: Assessing the traumatic injuries severity, as well as estimating the severe trauma patient’s prognosis are the key moments in their management. Predictive models for severe trauma outcome need improvement. Material and methods: In the clinical study (65 severe trauma patients), proteases, antiproteases and treatment outcome (survival/non-survival) were considered. There were used two statistical instruments – dimension reduction analysis (principal component analysis) to prepare the data for modeling and modeling itself through multivariate logistic regression. Results: Principal component analysis evidenced 12 “latent” factors grouped in four models. The survival predictive model had the following characteristics: calibration χ²=1.547, df=7, р=.981; determination – 0.759; discrimination, sensitivity – 90.7%, specificity – 81.8 %, area under RОС curve – 0.95 (95%CI 0.912, 1.000). The model enrolled four “latent” factors (three destructive and one protective), male gender and ARDS development. Conclusions: In our research, the survival predictive model for severe trauma patients on base of proteases/antiproteases system components after dimension reduction procedure was elaborated. The model showed good characteristics and needs validation to be implemented in daily clinical practice.

Cuvinte-cheie
trauma, survival predictive model, proteases, antiproteases