AIMC Topic: Postoperative Complications

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Preoperative prediction of major adverse outcomes after total arch replacement in acute type A aortic dissection based on machine learning ensemble.

Scientific reports
A machine learning model was developed and validated to predict postoperative complications in patients with acute type A aortic dissection (ATAAD) who underwent total arch replacement combined with frozen elephant trunk (TAR + FET), with the goal of...

Developed a knowledge base of risk factors for postoperative cognitive dysfunction: a retrospective database study.

Scientific reports
Postoperative cognitive dysfunction (POCD), a heterogeneous spectrum of surgery/anesthesia-associated neurocognitive impairments, represents a critical clinical challenge due to its associations with prolonged hospitalization, increased mortality, an...

GenAI exceeds clinical experts in predicting acute kidney injury following paediatric cardiopulmonary bypass.

Scientific reports
The emergence of large language models (LLMs) opens new horizons to leverage, often unused, information in clinical text. Our study aims to capitalise on this new potential. Specifically, we examine the utility of text embeddings generated by LLMs in...

Establishment of a machine learning-based predictive model with dual-center external validation: investigating the role of robotic surgery in preventing delayed gastric emptying for right-sided colon cancer.

Journal of robotic surgery
After colorectal surgery, delayed gastric emptying (DGE) is a clinically significant postoperative complication that significantly lowers patients' quality of life. The evolving application of robotic surgery in gastrointestinal oncology continues to...

Predictive modeling for early detection of refractory esophageal stricture following esophageal atresia surgery: insight from a machine learning study.

Pediatric surgery international
BACKGROUND: Refractory esophageal stricture (RES) presents a challenging complication after esophageal atresia (EA) repair. Earlier identification of patients with RES could help clinical decision-making. However, there are currently limited articles...

Predicting complications in breast reconstruction: External validation of a machine learning model.

Journal of plastic, reconstructive & aesthetic surgery : JPRAS
BACKGROUND: Nipple-sparing mastectomy (NSM) with immediate implant-based breast reconstruction provides aesthetic and psychosocial benefits, but nipple-areolar complex (NAC) necrosis remains a significant risk. This study externally validated a previ...

Preoperative prediction of severe short-term complications in patients with bladder cancer undergoing radical cystectomy.

Surgical oncology
BACKGROUND AND OBJECTIVE: Radical cystectomy (RC) is associated with a high risk of postoperative complications. The prediction of individual patient risk for severe complications can facilitate preoperative shared decision-making. Patients with elev...

Development of a Machine Learning-Based Predictive Model for Postoperative Delirium in Older Adult Intensive Care Unit Patients: Retrospective Study.

Journal of medical Internet research
BACKGROUND: Delirium is a prevalent phenomenon among patients admitted to the geriatric intensive care unit (ICU) and can adversely impact prognosis and augment the risk of complications.

Development and validation of a cardiac surgery-associated acute kidney injury prediction model using the MIMIC-IV database.

PloS one
OBJECTIVE: This study aimed to develop an innovative early prediction model for acute kidney injury (AKI) following cardiac surgery in intensive care unit (ICU) settings, leveraging preoperative and postoperative clinical variables, and to identify k...