Matches in SemOpenAlex for { <https://semopenalex.org/work/W4321435926> ?p ?o ?g. }
- W4321435926 endingPage "36" @default.
- W4321435926 startingPage "26" @default.
- W4321435926 abstract "Background. Relevance of the study is related to the lack of a unified strategy for determining the risk of infectious complications of puerperium. Currently, the specialists use the collected data from studies documenting the main factors of infection in a population or cohorts of postpartum women. However, accuracy of these factors is not established and prognosis could not be personalized. The paper analyzes significant risk factors for the infectious complications associated with cesarean section (C-Section) and develops a model for their prognosis and an individual assessment of the risk of postpartum infection in order to take timely preventive measures. Objective. To identify predictors of postpartum purulent-inflammatory complications after cesarean section, to evaluate their predictive value, and to develop a statistical model for determining the risk of their occurrence. Methods. The cohort retrospective study (January 2019 to January 2022) was conducted in four obstetric health facilities of Krasnodar and was focused on analysis of medical records. Anamnestic, clinical and laboratory data of all women after cesarean section delivery were collected. Model: a patient diagnosed with any infection associated with cesarean section within 42 days after delivery — postoperative suture infection, endometritis, peritonitis, thrombophlebitis, sepsis. Infections were grouped to carry out a single risk assessment with an internal validation test and to develop a multifactor logistic regression model. All analyses were conducted using version R 3.2.3 (SPSS Inc., Chicago, IL) and Transparent Reporting of a multivariable prediction model for Individual Prognosis Or Diagnosis (TRIPOD). Results. Infection associated with cesarean section occurred in 2.50% of women ( n = 548; 95% CI 2.6–3.5), suture disruption — in 0.59% ( n = 129; 95%, CI 0.41–0.81), endometritis — 1.46% ( n = 321; 95%, CI 1.15–1.94), peritonitis — 0.16% ( n = 35; 95%, CI 0.11–0.20), thrombophlebitis 0.04% ( n = 9; 95%, CI 0.01–0.05), sepsis 0.25% ( n = 54; 95%, CI 0.15–0.35). The authors have identified 14 major variables with a high prognostic risk for the development of infectious complications of puerperium. The model differentiated women with and without purulent inflammatory complications of puerperium by internal validation (concordance index = 0.712, 95%, CI 0.672–0.755). Conclusion. The developed model can be used to accurately predict the risk of infectious complications after abdominal delivery and to identify high-risk patients. It ensures a differentiated approach with a possibility to expand studies and strengthen antibiotic therapy, which promotes reduction of surgical site puerperal infection." @default.
- W4321435926 created "2023-02-22" @default.
- W4321435926 creator A5033681717 @default.
- W4321435926 creator A5065063953 @default.
- W4321435926 creator A5065965918 @default.
- W4321435926 creator A5078502721 @default.
- W4321435926 creator A5090365783 @default.
- W4321435926 date "2023-02-17" @default.
- W4321435926 modified "2023-09-29" @default.
- W4321435926 title "Model for Predicting Risk of Postpartum Purulent-Inflammatory Complications after Cesarean Section: Cohort Retrospective Study" @default.
- W4321435926 cites W1969923847 @default.
- W4321435926 cites W1971654961 @default.
- W4321435926 cites W1985008049 @default.
- W4321435926 cites W2015929254 @default.
- W4321435926 cites W2054193584 @default.
- W4321435926 cites W2055311469 @default.
- W4321435926 cites W2093274439 @default.
- W4321435926 cites W2130644475 @default.
- W4321435926 cites W2313413099 @default.
- W4321435926 cites W2424890898 @default.
- W4321435926 cites W2530854472 @default.
- W4321435926 cites W2597473574 @default.
- W4321435926 cites W2610936380 @default.
- W4321435926 cites W2612252442 @default.
- W4321435926 cites W2637739491 @default.
- W4321435926 cites W2655414730 @default.
- W4321435926 cites W2797415843 @default.
- W4321435926 cites W2893263475 @default.
- W4321435926 cites W2895816481 @default.
- W4321435926 cites W2898294716 @default.
- W4321435926 cites W2914085063 @default.
- W4321435926 cites W2914868791 @default.
- W4321435926 cites W2922512655 @default.
- W4321435926 cites W2946099734 @default.
- W4321435926 cites W2980587215 @default.
- W4321435926 cites W3009027534 @default.
- W4321435926 cites W3016525459 @default.
- W4321435926 cites W3016814994 @default.
- W4321435926 cites W3082307126 @default.
- W4321435926 cites W3091782359 @default.
- W4321435926 cites W3201335142 @default.
- W4321435926 cites W3215695514 @default.
- W4321435926 cites W4252034628 @default.
- W4321435926 cites W4282932730 @default.
- W4321435926 cites W4283743897 @default.
- W4321435926 cites W4295211185 @default.
- W4321435926 doi "https://doi.org/10.25207/1608-6228-2023-30-1-26-36" @default.
- W4321435926 hasPublicationYear "2023" @default.
- W4321435926 type Work @default.
- W4321435926 citedByCount "0" @default.
- W4321435926 crossrefType "journal-article" @default.
- W4321435926 hasAuthorship W4321435926A5033681717 @default.
- W4321435926 hasAuthorship W4321435926A5065063953 @default.
- W4321435926 hasAuthorship W4321435926A5065965918 @default.
- W4321435926 hasAuthorship W4321435926A5078502721 @default.
- W4321435926 hasAuthorship W4321435926A5090365783 @default.
- W4321435926 hasBestOaLocation W43214359261 @default.
- W4321435926 hasConcept C126322002 @default.
- W4321435926 hasConcept C131872663 @default.
- W4321435926 hasConcept C141071460 @default.
- W4321435926 hasConcept C151956035 @default.
- W4321435926 hasConcept C167135981 @default.
- W4321435926 hasConcept C194828623 @default.
- W4321435926 hasConcept C195910791 @default.
- W4321435926 hasConcept C2775846227 @default.
- W4321435926 hasConcept C2779234561 @default.
- W4321435926 hasConcept C2908647359 @default.
- W4321435926 hasConcept C54355233 @default.
- W4321435926 hasConcept C71924100 @default.
- W4321435926 hasConcept C72563966 @default.
- W4321435926 hasConcept C86803240 @default.
- W4321435926 hasConcept C99454951 @default.
- W4321435926 hasConceptScore W4321435926C126322002 @default.
- W4321435926 hasConceptScore W4321435926C131872663 @default.
- W4321435926 hasConceptScore W4321435926C141071460 @default.
- W4321435926 hasConceptScore W4321435926C151956035 @default.
- W4321435926 hasConceptScore W4321435926C167135981 @default.
- W4321435926 hasConceptScore W4321435926C194828623 @default.
- W4321435926 hasConceptScore W4321435926C195910791 @default.
- W4321435926 hasConceptScore W4321435926C2775846227 @default.
- W4321435926 hasConceptScore W4321435926C2779234561 @default.
- W4321435926 hasConceptScore W4321435926C2908647359 @default.
- W4321435926 hasConceptScore W4321435926C54355233 @default.
- W4321435926 hasConceptScore W4321435926C71924100 @default.
- W4321435926 hasConceptScore W4321435926C72563966 @default.
- W4321435926 hasConceptScore W4321435926C86803240 @default.
- W4321435926 hasConceptScore W4321435926C99454951 @default.
- W4321435926 hasIssue "1" @default.
- W4321435926 hasLocation W43214359261 @default.
- W4321435926 hasOpenAccess W4321435926 @default.
- W4321435926 hasPrimaryLocation W43214359261 @default.
- W4321435926 hasRelatedWork W2139352390 @default.
- W4321435926 hasRelatedWork W2315085516 @default.
- W4321435926 hasRelatedWork W2389709268 @default.
- W4321435926 hasRelatedWork W2603773853 @default.
- W4321435926 hasRelatedWork W3017572898 @default.
- W4321435926 hasRelatedWork W3208090289 @default.
- W4321435926 hasRelatedWork W3210359220 @default.