Development of a simple prediction model for tracheostomy requirement after surgical resection of medulloblastoma in children
Abstract Objective Postoperative tracheostomy is a significant complication following medulloblastoma (MB) resection. This study aimed to develop a predictive model for postoperative tracheostomy requirement in children undergoing MB surgical resection. This model was derived as a side product of a...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-01-01
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| Series: | BMC Research Notes |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13104-025-07085-7 |
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| Summary: | Abstract Objective Postoperative tracheostomy is a significant complication following medulloblastoma (MB) resection. This study aimed to develop a predictive model for postoperative tracheostomy requirement in children undergoing MB surgical resection. This model was derived as a side product of a larger research project analyzing surgical outcomes in pediatric MB patients. Results Forty-five patients (26%) required tracheostomy postoperatively. Using multivariable logistic regression, five models were developed, and the final model was selected based on performance and simplicity. The simplified version included two predictors: preoperative brainstem invasion and postoperative brainstem contusion, each contributing equally to the score. The model demonstrated an AUC of 0.845. Predicted risks of requiring a tracheostomy were 5.8%, 57.7%, and 75% for scores of 0, 1, and 2, respectively. This tool provides clinicians with a quantitative approach to assess tracheostomy risk, improving decision-making and patient management. |
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| ISSN: | 1756-0500 |