Clinical prediction rule for bacterial arthritis: Chi-squared automatic interaction detector decision tree analysis model

被引:2
|
作者
Kushiro, Seiko [1 ,3 ]
Fukui, Sayato [1 ]
Inui, Akihiro [1 ]
Kobayashi, Daiki [2 ]
Saita, Mizue [1 ]
Naito, Toshio [1 ]
机构
[1] Juntendo Univ, Fac Med, Dept Gen Med, Tokyo, Japan
[2] St Lukes Int Hosp, Dept Internal Med, Tokyo, Japan
[3] Juntendo Univ, Fac Med, Dept Gen Med, 2-1-1 Hongo,Bunkyo Ku, Tokyo 1138421, Japan
来源
SAGE OPEN MEDICINE | 2023年 / 11卷
关键词
Bacterial arthritis; predictive rule; risk factors; chi-squared automatic interaction detector analysis; SEPTIC ARTHRITIS; JOINT DISEASE; RISK-FACTORS; COVID-19; THROMBOCYTOSIS; LEUKOCYTOSIS; DIAGNOSIS; MACHINE; NETWORK; CHAID;
D O I
10.1177/20503121231160962
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objectives:Differences in demographic factors, symptoms, and laboratory data between bacterial and non-bacterial arthritis have not been defined. We aimed to identify predictors of bacterial arthritis, excluding synovial testing. Methods:This retrospective cross-sectional survey was performed at a university hospital. All patients included received arthrocentesis from January 1, 2010, to December 31, 2020. Clinical information was gathered from medical charts from the time of synovial fluid sample collection. Factors potentially predictive of bacterial arthritis were analyzed using the Student's t-test or chi-squared test, and the chi-squared automatic interaction detector decision tree analysis. The resulting subgroups were divided into three groups according to the risk of bacterial arthritis: low-risk, intermediate-risk, or high-risk groups. Results:A total of 460 patients (male/female = 229/231; mean +/- standard deviation age, 70.26 +/- 17.66 years) were included, of whom 68 patients (14.8%) had bacterial arthritis. The chi-squared automatic interaction detector decision tree analysis revealed that patients with C-reactive protein > 21.09 mg/dL (incidence of septic arthritis: 48.7%) and C-reactive protein <= 21.09 mg/dL plus 27.70 < platelet count <= 30.70 x 10(4)/mu L (incidence: 36.1%) were high-risk groups. Conclusions:Our results emphasize that patients categorized as high risk of bacterial arthritis, and appropriate treatment could be initiated as soon as possible.
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页数:10
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