To develop and internally validate machine learning models for predicting prolonged air leak (PAL) after uniportal video-assisted thoracic surgery (uVATS) segmentectomy.
Approach:
Key Findings:
The XGBoost model achieved the highest AUC of 0.874 [95% confidence interval (CI): 0.833–0.906] in the internal test set.
Interpretation:
Machine learning models, particularly XGBoost, show promising internal performance for predicting PAL after uVATS segmentectomy.
Limitations:
The study is based on a single-center retrospective design.
External validation and prospective clinical evaluation are necessary before routine clinical implementation.
Conclusion:
The study provides evidence-based insights for perioperative risk stratification and individualized care strategies.
Qualitative interviews identified four themes involving emergency challenges and response, teamwork, psychological stress and coping, and professional growth needs in trauma surgery.
The procedure was performed under a HOPE Act research protocol at an NYU Langone Health center the institution said is among the limited number of US transplant centers equipped and approved to perform HOPE lung transplants.
Severe social jet lag among surgeons was associated with higher rates of major adverse events, independent of sleep duration, workload, and patient risk.