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

To construction of a nomogram to predict the prognosis of patients with tibial osteomyelitis after debridement surgery. This study used binary logistic regression analysis to identify clinical independent predictive factors, and then used R language to construct a nomogram. The results showed that W...

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Bibliographic Details
Published in:BMC musculoskeletal disorders 2024-11, Vol.25 (1), p.967-15, Article 967
Main Authors: Lu, Rongbin, Xia, Shaohuai, Deng, Gaoyong, Li, Wencai, Huang, Zhao, Ling, He
Format: Article
Language:English
Subjects:
Adult
Aged
Antibiotics
Blood Platelets
Blood pressure
Body mass index
Care and treatment
China - epidemiology
Debridement
Debridement surgery
Diabetes
Diagnosis
Female
Foot diseases
Health aspects
Humans
Hypertension
Infections
Laboratories
Lymphocyte Count
Lymphocytes
Magnetic resonance imaging
Male
Methods
Middle Aged
Necrosis
Neutrophils
Nomogram
Nomograms
Nomography (Mathematics)
Normal distribution
Osteomyelitis
Osteomyelitis - blood
Osteomyelitis - surgery
Patients
Platelet Count
Predictive Value of Tests
Prognosis
Recurrence
Retrospective Studies
Surgery
Tibia - surgery
Tibial osteomyelitis
Tomography
Variance analysis
X-rays
Young Adult
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Summary:To construction of a nomogram to predict the prognosis of patients with tibial osteomyelitis after debridement surgery. This study used binary logistic regression analysis to identify clinical independent predictive factors, and then used R language to construct a nomogram. 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. 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.
ISSN:1471-2474
1471-2474
DOI:10.1186/s12891-024-08106-5