Background
Children’s lungs are different from adults’, making them more prone to breathing problems after certain surgeries. This study aimed to create a tool (a nomogram) to help predict these issues in children undergoing thoracic surgery with one-lung ventilation.
Methods
We studied 361 children who had this type of surgery. They were split into two groups: one to develop the nomogram and another to test its accuracy. We looked at various factors to find the most important ones that could predict breathing complications after surgery.
Results
Out of the children studied, 109 (30.2%) experienced breathing complications after their surgery. We identified four key factors to include in our nomogram:
- Preoperative neutrophil-to-lymphocyte ratio
- Intraoperative ventilation mode
- Maximum peak airway pressure
- Minimum oxygenation index during one-lung ventilation
The nomogram showed very good accuracy in predicting complications, with strong performance in both the training and validation groups.
Conclusion
This nomogram can help doctors assess the risk of breathing problems in children before surgery, allowing for better planning and care to improve outcomes.
Next Steps for Clinics
To effectively use this nomogram, clinics should:
- Define clear goals for its use in predicting complications.
- Choose AI tools that match their clinical needs for implementation.
- Start with small pilot projects to test the nomogram in real-world settings.
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