A classification and regression tree to guide tracheostomy for patients with traumatic cervical spinal cord injury
10.3760/cma.j.cn115530-20220216-00095
- VernacularTitle:基于分类与回归树模型对创伤性颈脊髓损伤患者行气管切开的预测研究
- Author:
Dawei SUN
1
;
Zhiping MU
;
Chenxi SUN
;
Piming NIE
;
Yunbo JIAN
;
Hanqing ZHAO
;
Zhengfeng ZHANG
Author Information
1. 陆军军医大学新桥医院骨科，重庆 400037
- Keywords:
Spinal cord injury;
Tracheostomy;
Risk factors;
Classification and regression trees;
Prediction
- From:
Chinese Journal of Orthopaedic Trauma
2023;25(1):51-57
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a classification and regression tree which can be used to guide the tracheostomy for traumatic cervical spinal cord injury (TCSCI) based on the identification of the risk factors for TCSCI.Methods:The 498 patients with TCSCI were retrospectively analyzed who had been treated at Department of Orthopedics, The Second Hospital Affiliated to Army Medical University from January 2009 to December 2018. There were 403 males and 86 females, with an age of (50.2±13.6) years. Of the patients, 69 received tracheostomy and 420 did not. The gender, age, smoking history, injury cause, neurological level of injury (NLI), American Spinal Cord Injury Association (ASIA) grade, injury severity score (ISS), thoracic injuries, prior pulmonary diseases, prior basic diseases, and operative approaches of the patients were statistically analyzed by single factor analysis. After the independent risk factors for tracheostomy were analyzed by binary logistic regression, the classification and regression tree was developed which could be used to guide the tracheostomy.Results:The logistic regression analysis showed age>50 years ( OR=4.744, 95% CI: 1.802 to 12.493, P=0.002), NLI at C 4 and above ( OR=23.662, 95% CI: 8.449 to 66.268, P<0.001), ASIA grade A ( OR=40.007, 95% CI: 12.992 to 123.193, P<0.001), and ISS score>16 ( OR=10.502, 95% CI: 3.909 to 28.211, P<0.001) were the independent risk factors for the tracheotomy. The classification and regression tree revealed that ASIA grade A and NLI at C 4 and above were the first and second decision nodes, which had a strong predictive effect on tracheostomy. 86.84% of the patients with ASIA grade A and NLI at C 4 and above underwent tracheostomy. Conclusion:Our classification and regression tree shows that NLI at C 4 and above and ASIA grade A have a strong guiding effect on tracheotomy for TCSCI.
