THE IMPORTANCE OF THE RISK FACTORS OF PURULENT-SEPTIC COMPLICATIONS DEVELOPMENT
https://doi.org/10.15690/vsp.v11i4.364
Abstract
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 of
complications is 76%, the rate of their absence — 84%.
complications is 76%, the rate of their absence — 84%.
About the Authors
A. N. Obedin
Stavropol State Medical Academy, Ministry of Healthcare and Social Development of Russia
Россия
Aleksandr Obedin, Candidate of Medical Science, associate professor of pediatric surgery with a course of anesthesiology and resuscitation
Россия
Aleksandr Obedin, Candidate of Medical Science, associate professor of pediatric surgery with a course of anesthesiology and resuscitation
S. V. Minaev
Stavropol State Medical Academy, Ministry of Healthcare and Social Development of Russia
Россия
Россия
I. V. Kirgizov
Scientific Centre of Children Health, RAMS, Moscow
I.M. Sechenov First Moscow State Medical University
Россия
Россия
A. E. Aleksandrov
Scientific Centre of Children Health, RAMS, Moscow
I.M. Sechenov First Moscow State Medical University
Россия
Россия
E. A. Tovkan
Territorial Children Clinical Hospital, Stavropol
Россия
Россия
N. M. Romaneeva
Stavropol State Medical Academy, Ministry of Healthcare and Social Development of Russia
Россия
Россия
T. A. Khoranova
Stavropol State Medical Academy, Ministry of Healthcare and Social Development of Russia
Россия
Россия
L. A. Сhitaeva
Stavropol State Medical Academy, Ministry of Healthcare and Social Development of Russia
Россия
Россия
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Review
For citations:
Obedin A.N., Minaev S.V., Kirgizov I.V., Aleksandrov A.E., Tovkan E.A., Romaneeva N.M., Khoranova T.A., Сhitaeva L.A. THE IMPORTANCE OF THE RISK FACTORS OF PURULENT-SEPTIC COMPLICATIONS DEVELOPMENT. Current Pediatrics. 2012;11(4):90-94. (In Russ.) https://doi.org/10.15690/vsp.v11i4.364
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