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cc-by-nc-nd (c) Elsevier, 2021
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/176538

Riesgo quirúrgico tras resección pulmonar anatómica en cirugía torácica. Modelo predictivo a partir de una base de datos nacional multicéntrica

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Introduction: the aim of this study was to develop a surgical risk prediction model in patients undergoing anatomic lung resections from the registry of the Spanish Video-Assisted Thoracic Surgery Group (GEVATS). Methods: data were collected from 3,533 patients undergoing anatomic lung resection for any diagnosis between December 20, 2016 and March 20, 2018. We defined a combined outcome variable: death or Clavien Dindo grade IV complication at 90 days after surgery. Univariate and multivariate analyses were performed by logistic regression. Internal validation of the model was performed using resampling techniques. Results: the incidence of the outcome variable was 4.29% (95% CI 3.6-4.9). The variables remaining in the final logistic model were: age, sex, previous lung cancer resection, dyspnea (mMRC), right pneumonectomy, and ppo DLCO. The performance parameters of the model adjusted by resampling were: C-statistic 0.712 (95% CI 0.648-0.750), Brier score 0.042 and bootstrap shrinkage 0.854. Conclusions: the risk prediction model obtained from the GEVATS database is a simple, valid, and reliable model that is a useful tool for establishing the risk of a patient undergoing anatomic lung resection.

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GÓMEZ-DE ANTONIO, David, CROWLEY CARRASCO, Silvana, ROMERO ROMÁN, Alejandra, ROYUELA, Ana, SÁNCHEZ CALLE, Álvaro, CALL CAJA, Sergi, EMBUN, Raul, ROYO-CRESPO, Iñigo, OBIOLS FORNELL, Carme, RECUERO DÍAZ, José luis, CABAÑERO SÁNCHEZ, Alberto, MORENO-MATA, Nicolas, BOLUFER, Sergio, CONGREGADO, Miguel, JIMENEZ, Marcelo f., AGUINAGALDE, Borja, AMOR-ALONSO, Sergio, ARRARÁS, Miguel jesús, BLANCO OROZCO, Ana isabel, BOADA, Marc, CAL VÁZQUEZ, Isabel, CILLERUELO RAMOS, Ángel, FERNÁNDEZ-MARTÍN, Elena, GARCÍA-BARAJAS, Santiago, GARCÍA-JIMÉNEZ, Maria dolores, GARCÍA-PRIM, Jose maría, GARCIA-SALCEDO, Jose alberto, GELBENZU-ZAZPE, Juan josé, GIRALDO-OSPINA, Carlos fernando, GÓMEZ HERNÁNDEZ, María teresa, HERNÁNDEZ, Jorge, ILLANA WOLF, Jennifer d., JAUREGUI ABULARACH, Alberto, JIMÉNEZ, Unai, LÓPEZ SANZ, Iker, MARTÍNEZ-HERNÁNDEZ, Néstor j., MARTÍNEZ-TÉLLEZ, Elisabeth, MILLA COLLADO, Lucía, MONGIL POCE, Roberto, RAMOS IZQUIERDO, Ricard. Riesgo quirúrgico tras resección pulmonar anatómica en cirugía torácica. Modelo predictivo a partir de una base de datos nacional multicéntrica. _Archivos de Bronconeumologia_. 2021. Vol. S0300-2896, núm. 21, pàgs. 00070-00073. [consulta: 29 de gener de 2026]. ISSN: 0300-2896. [Disponible a: https://hdl.handle.net/2445/176538]

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