Huali Chen1,2†
Zhoumin Shen1,†
Yan Zhang2,3,†*Zhaofen Zheng2,3Lihua Li2,3Xinyi Tian4Jianqiang Peng2,3Xi Peng2,3Yi Zhou5*
- 1Quality Control Office of Nursing Department, Hunan Provincial People’s Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha, China
- 2Clinical Medicine Research Center of Heart Failure of Hunan Province, Hunan Provincial People’s Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha, China
- 3Department of Cardiology, Hunan Provincial People’s Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha, China
- 4Emergency Department, Hunan Provincial People’s Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha, China
- 5Department of Orthopedics (Department of Osteoarticular and Sports Medicine), Hunan Provincial People’s Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha, China
Data analysis was performed on IABP (intra-aortic balloon pump) patients for the use of anticoagulants, pulse of dorsalis pedis artery, D-dimer data, and coagulation function. According to the differential diagnosis of 52 patients admitted to hospital, data on the use of anticoagulants, dorsalis pedis artery pulsation, D-dimer data, and coagulation function were collected. These data were analyzed by using a nonparametric test, linear regression analysis, adjustment effect analysis, and chi-square test. Some findings of the analysis included: (1) There were differences in the dorsalis pedis artery pulsation of samples from different sexes, all of which were significant. (2) Coagulation function has a significant positive relationship with D-dimer. (3) When the D-dimer affects the prognosis, the regulatory variable (dorsalis pedis artery pulse) is at different levels, and the influence amplitude has significant differences. (4) Samples taken with different anticoagulants all showed significant differences in the dorsalis pedis artery pulsation.
Introduction
Mathematical model–based scenario analysis and interventions are very useful in clinical studies (1). There are many tools that can be used for the analysis and interventions, including meta-analysis (2), AI-based methods (3), Matlab platforms (4), SAS, STATA and R programs (5), network analysis (6), molecular modeling (7), and so forth. Some of them have been designed with simple software for us to use, whereas others need programming and require typical levels of computer knowledge. Therefore, it is very important to integrate medicine with mathematics and computer science (8).
Intra-aortic balloon pump (IABP) is a typical nursing tool in cardiovascular indications for over 50 years (9). In many of the IABP studies, mathematics and computer science have been widely used in statistical analysis for presenting novel findings and conclusions. Georgeson et al. (10) have constructed a decision model for IABP analysis. Moustafa et al. (11) performed a meta-analysis using data from the Pubmed, EMBASE, and Cochrane Central databases. Millet et al. (12) have conducted a cost analysis for a retrospective study by chart review in 2016–2019. Gu et al. (13) have used numerical analysis for heart failure, IABP, ECMO, and ECMO plus IABP.
The above mathematical tools are frequently used in clinical studies; however, they seem complicated for non-professional readers to understand. SPSS is a typical and easy tool in scientific analysis (14, 15). The results and conclusions are easily understood. In this work, SPSS analysis was performed with the data of the IABP patients for the use of anticoagulants, pulse of dorsalis pedis artery, D-dimer data, and coagulation function. According to the differential diagnosis of patients admitted to hospital, data on the use of anticoagulants, dorsalis pedis artery pulsation, D-dimer data, and coagulation function were collected. These data were analyzed by using a nonparametric test, linear regression analysis, adjustment effect analysis, and chi-square test. The results and findings can be used for future IABP studies in medicine and statistics.
Objective and Methods
Table 1 shows the age distribution of different patients in the admission diagnosis, and the total number of samples is 52. A total of five diseases were recorded, and five samples were not recorded. There were 38 males and 14 females. The raw information is shown in Supplementary material. The results are analyzed using SPSS (Statistical Product and Service Solutions).
Table 1. Basic statistics of the survey.
Results and Discussion
As shown in Table 2, the non-parametric test was used to study the difference of gender in one item concerning the pulsation of the dorsalis pedis artery. As shown in the table, there were two groups (female and male) of gender, so the Mann–Whitney test statistic was used for analysis. For the dorsalis pedis artery pulsation, samples from different genders showed differences, and all of them showed significant differences (p < 0.05).
Table 2. Non-parametric test analysis results.
The specific analysis showed that gender had a significant effect at the 0.05 level on the dorsalis pedis artery pulsation (p = 0.025 < 0.05), and the specific comparison with the difference in the median showed that the medians were equal. p-values less than 0.05 showed a significant difference, but there was no difference in the median, indicating that the source of the difference was different types of data distribution.
As shown in Table 3, linear regression analysis was performed with the coagulation function as the independent variable and D-dimer as the dependent variable. As shown in the table, the model formula is: D-dimer = 12.706 + 0.542 × coagulation function, and the model R square value is 0.245, which means that the coagulation function can explain the 24.5% change of the D-dimer. When the model was subjected to an F-test, it was found that the model passed the F-test (F = 16.257, p ≤ 0.001), which indicates that clotting function must affect the D-dimer.
Table 3. Results of linear regression analysis (n = 52).
The final analysis showed that the regression coefficient value of the coagulation function was 0.542 (t = 4.032, p ≤ 0.001), indicating that the coagulation function had a significant positive effect on the D-dimer.
As shown in Table 4, the regulatory effects were divided into three models, with the independent variable (D-dimer) included in Model 1. In Model 2, regulatory variables (the pulse condition of dorsalis pedis artery) were added on the basis of Model 1, and in Model 3, interactive terms (the product term of the independent variable and the regulatory variable) were added on the basis of Model 2. For Model 1, its purpose is to study the effect of the independent variable (D-dimer) on the dependent variable (outcome) without considering the interference of the regulatory variable (dorsalis pedis artery pulse). As shown in Table 4, the independent variable (D-dimer) showed significant values (t = −2.451, p = 0.018 < 0.05), meaning that the D-dimer had a significant effect on outcomes. The adjustment effect can be viewed in two ways. The first way is to view the significance of the F-value change from Model 2 to Model 3. The second way is to check the significance of the interaction items in Model 3. The regulation effect is analyzed in the second way this time. As shown in Table 4, the interaction term of the D-dimer and dorsalis pedis artery pulse was significant (t = 2.044, p = 0.046 < 0.05). This means that when the D-dimer affects the outcome, the regulating variable (dorsalis pedis artery pulse) has a significantly different influence amplitude at different levels, as shown in the variable relationship in Figure 1.
Figure 1. Variable relationships.
Table 4. Adjustment effect analysis results.
As shown in Table 5, chi-square test (cross-analysis) was used to study the difference relationship of the use of anticoagulants to a total of one item of dorsal artery pulse. From this table, it can be seen that the use samples of different anticoagulants showed a significant difference with respect to a total of one item of dorsal artery pulse (p < 0.05), which means that the use samples of different anticoagulants showed a difference with respect to a total of one item of dorsal artery pulse. In conclusion, samples taken with different anticoagulants showed significant differences for all the dorsalis pedis pulses.
Table 5. Chi-square test analysis results.
Conclusion
Data analysis was performed on 52 patients. According to the differential diagnosis of patients admitted to hospital, data on the use of anticoagulants, dorsalis pedis artery pulsation, D-dimer data, and coagulation function were collected. These data were analyzed by using a non-parametric test, linear regression analysis, adjustment effect analysis, and chi-square test. Some findings of the analysis included: (1) There were differences in the dorsalis pedis artery pulsation of samples from different sexes, all of which were significant. (2) Coagulation function has a significant positive relationship with D-dimer. (3) When the D-dimer affects the prognosis, the regulatory variable (dorsalis pedis artery pulse) is at different levels, and the influence amplitude has significant differences. (4) Samples taken with different anticoagulants all showed significant differences in the dorsalis pedis artery pulsation.
Data Availability Statement
The original contributions presented in the study are included in the article/Supplementary Material; further inquiries can be directed to the corresponding author/s..
Ethics Statement
The studies involving human participants were reviewed and approved by the Hunan Provincial People’s Hospital (The First Affiliated Hospital of Hunan Normal University). The patients/participants provided their written informed consent to participate in this study.
Author Contributions
HC, ZS, and YZ contributed to the conception and design of the study and wrote the first draft of the manuscript. ZZ, LL, XT, JP, and XP contributed to the data collection and analysis. YZ and YZ contributed to manuscript revision, reading, and project management. All authors contributed to the article and approved the submitted version.
Funding
The work was supported by grants from the Key Research and Development Program of Hunan Province (2019SK2021). The work was also supported by the Hunan Provincial Health Committee (project number 202214013647).
Supplementary Material
The Supplementary Material for this article can be found online at: https://www.frontiersin.org/article/10.3389/fsurg.2022.919009/full#supplementary-material.
Supplementary Data Sheet S1 | Raw data for the SPSS analysis.Conflict of Interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Publisher's Note
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References
1. Padmanabhan R, Abed HS, Meskin N, Khattab T, Shraim M, Al-Hitmi MA. A review of mathematical model-based scenario analysis and interventions for COVID-19. Comput Methods Programs Biomed. (2021):106301. doi: 10.1016/j.cmpb.2021.106301
2. He X, Chen L, Chen H, Feng Y, Zhu B, Yang C. Diagnostic accuracy of procalcitonin for bacterial infection in liver failure: a meta-analysis. Bioinorg Chem Appl. (2021) 2021:5801139. doi: 10.1155/2021/5801139
3. Bosmans H, Zanca F, Gelaude F. Procurement, commissioning and QA of AI based solutions: an MPE’s perspective on introducing AI in clinical practice. Phys Med. (2021) 83:257–63. doi: 10.1016/j.ejmp.2021.04.006
4. Lee DC, Kim J, Hodges M. Development of a program for repolarization parameters of research and clinical interest using the Matlab platform. J Electrocardiol. (2009) 42(6):616. doi: 10.1016/j.jelectrocard.2009.08.032
5. Sauerbrei W, Meier-Hirmer C, Benner A, Royston P. Multivariable regression model building by using fractional polynomials: description of SAS, STATA and R programs. Comput Stat Data Anal. (2006) 50(12):3464–85. doi: 10.1016/j.csda.2005.07.015
6. Yang M-Z, Zhang B-B, Huang J-C, Bai X-Y, Liang Z-Q, Yi X, et al. Network pharmacology reveals polyphyllin II as one hit of Nano Chinese medicine monomers against nasopharyngeal carcinoma. Bioinorg Chem Appl. (2021) 2021:9959634. doi: 10.1155/2021/9959634
7. Xu N, Zhang B-B, Huang X-N, Yi X, Yan X-M, Cai Y, et al. S100A8/A9 molecular complexes promote cancer migration and invasion via the p38 MAPK pathway in nasopharyngeal carcinoma. Bioinorg Chem Appl. (2021) 2021:9913794. doi: 10.1155/2021/9913794
8. Zayed AI. A new perspective on the role of mathematics in medicine. J Adv Res. (2019) 17:49–54. doi: 10.1016/j.jare.2019.01.016
9. Freund A, Desch S, Thiele H. Intra-aortic balloon counterpulsation – Does it work? Prog Cardiovasc Dis. (2020) 63(5):623–9. doi: 10.1016/j.pcad.2020.07.001
10. Georgeson S, Coombs AT, Eckman MH. Prophylactic use of the intro-aortic balloon pump in high-risk cardiac patients undergoing noncardiac surgery: a decision analytic view. Am J Med. (1992) 92(6):665–78. doi: 10.1016/0002-9343(92)90785-A
11. Moustafa A, Khan MS, Saad M, Siddiqui S, Eltahawy E. Impella support versus intra-aortic balloon pump in acute myocardial infarction complicated by cardiogenic shock: a meta-analysis. Cardiovasc Revasc Med. (2021) 34:25-31. doi: 10.1016/j.carrev.2021.01.028
12. Millet N, Farquhar R, Patel U, Ezegbu L, Raitz G, Loftus F, et al. Cost analysis of intra-aortic balloon pump support device in patients with ST elevation myocardial infarction complicated by cardiogenic shock. Chest. (2020) 158(4):A117–8: Supplement. doi: 10.1016/j.chest.2020.08.140
13. Gu K, Guan Z, Lin X, Feng Y, Feng J, Yang Y, et al. Numerical analysis of aortic hemodynamics under the support of venoarterial extracorporeal membrane oxygenation and intra-aortic balloon pump. Comput Methods Programs Biomed. (2019) 182:105041. doi: 10.1016/j.cmpb.2019.105041
14. Nunfam VF, Afrifa-Yamoah E, Adusei-Asante K, Etten E, Oosthuizen J. Construct validity and invariance assessment of the social impacts of occupational heat stress scale (SIOHSS) among Ghanaian mining workers. Sci Total Environ. (2021) 771(3):144911. doi: 10.1016/j.scitotenv.2020.144911
Keywords: intra-aortic balloon pumping, nursing care, SPSS, analysis, retrospective study
Citation: Chen H, Shen Z, Zhang Y, Zheng Z, Li L, Tian X, Peng J, Peng X and Zhou Y (2022) Statistical Analysis of IABP-Surgery Data with the Co-use of Anticoagulants, Pulse of Dorsalis Pedis Artery, D-Dimer Data, and Coagulation Function. Front. Surg. 9:919009. doi: 10.3389/fsurg.2022.919009
Received: 13 April 2022; Accepted: 22 April 2022;
Published: 16 May 2022.
Edited by:
Weiguo Li, Harbin Institute of Technology, ChinaReviewed by:
Hongwen Wu, Liuzhou Workers Hospital, ChinaYunrun Liu, Hong Kong Baptist University, SAR China
Copyright © 2022 Chen, Shen, Zhang, Zheng, Li, Tian, Peng, Peng and Zhou. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Yan Zhang emhhbmd5YW4uMDFAb3V0bG9vay5jb20= Yi Zhou emhvdXlpbWVpbWVpQDEyNi5jb20=
†These authors contribute equally to this article and should be considered co-first authors
Specialty section: This article was submitted to Visceral Surgery, a section of the journal Frontiers in Surgery