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: Sina Zoghi, Zahra Tabesh, Ali Ansari, Omid Yousefi, Mohammad Sadegh Masoudi, Reza Taheri
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Research Notes
Subjects:
Online Access:https://doi.org/10.1186/s13104-025-07085-7
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author Sina Zoghi
Zahra Tabesh
Ali Ansari
Omid Yousefi
Mohammad Sadegh Masoudi
Reza Taheri
author_facet Sina Zoghi
Zahra Tabesh
Ali Ansari
Omid Yousefi
Mohammad Sadegh Masoudi
Reza Taheri
author_sort Sina Zoghi
collection DOAJ
description 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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spelling doaj-art-6cc6d6a804134d5e83c7f47ba0e91cbb2025-01-12T12:06:47ZengBMCBMC Research Notes1756-05002025-01-011811610.1186/s13104-025-07085-7Development of a simple prediction model for tracheostomy requirement after surgical resection of medulloblastoma in childrenSina Zoghi0Zahra Tabesh1Ali Ansari2Omid Yousefi3Mohammad Sadegh Masoudi4Reza Taheri5Department of Neurosurgery, Shiraz University of Medical SciencesNoncommunicable Diseases Research Center, Fasa University of Medical SciencesStudent Research Committee, Shiraz University of Medical SciencesDepartment of Neurosurgery, Shiraz University of Medical SciencesDepartment of Neurosurgery, Shiraz University of Medical SciencesShiraz Neuroscience Research Center, Shiraz University of Medical SciencesAbstract 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.https://doi.org/10.1186/s13104-025-07085-7MedulloblastomaTracheostomyRisk forecasting modelPrediction modelingBrainstem
spellingShingle Sina Zoghi
Zahra Tabesh
Ali Ansari
Omid Yousefi
Mohammad Sadegh Masoudi
Reza Taheri
Development of a simple prediction model for tracheostomy requirement after surgical resection of medulloblastoma in children
BMC Research Notes
Medulloblastoma
Tracheostomy
Risk forecasting model
Prediction modeling
Brainstem
title Development of a simple prediction model for tracheostomy requirement after surgical resection of medulloblastoma in children
title_full Development of a simple prediction model for tracheostomy requirement after surgical resection of medulloblastoma in children
title_fullStr Development of a simple prediction model for tracheostomy requirement after surgical resection of medulloblastoma in children
title_full_unstemmed Development of a simple prediction model for tracheostomy requirement after surgical resection of medulloblastoma in children
title_short Development of a simple prediction model for tracheostomy requirement after surgical resection of medulloblastoma in children
title_sort development of a simple prediction model for tracheostomy requirement after surgical resection of medulloblastoma in children
topic Medulloblastoma
Tracheostomy
Risk forecasting model
Prediction modeling
Brainstem
url https://doi.org/10.1186/s13104-025-07085-7
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