Constructing a nomogram for the recurrence of tibial osteomyelitis after debridement surgery based on platelet to lymphocyte ratio at admission: a dual-center retrospective study from China

基于入院时血小板/淋巴细胞比值构建胫骨骨髓炎清创术后复发预测列线图:一项来自中国的双中心回顾性研究

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Abstract

AIM: To construction of a nomogram to predict the prognosis of patients with tibial osteomyelitis after debridement surgery. METHOD: This study used binary logistic regression analysis to identify clinical independent predictive factors, and then used R language to construct a nomogram. RESULT: The results showed that WBC (3.36[1.77-6.37])、LYM (0.29[0.15-0.54])、BAS (2.19[1.22-3.91])、FIB (0.27[0.14-0.54])、ALB (0.16[0.09-0.3])、TBIL (0.41[0.21-0.83])、D-Dimer (1.77[1.03-3.03])、CRP (0.43[0.2-0.91])、ESR (3.08[1.6-5.79]) and PLR (0.47[0.24-0.9]) were independent predictive factors. Good prediction performance with modest errors was shown by the nomogram in both the training and validation groups. CONCLUSION: WBC、LYM、BAS、FIB、ALB、TBIL、D-Dimer、CRP、ESR and PLR are independent predictors of the prognosis of patients with tibial osteomyelitis after debridement surgery. The constructed nomogram can help clinicians assess and treat patients early, benefiting more patients.

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