在接受MHD的患者中,对AVF功能障碍的预测因素的回顾性分析
Liqin Wang1, Yanna Yang2, Qianqian Zhao1
1Hemodialysis Center, Hefei Third Clinical College (Hefei Third People's Hospital), Anhui Medical University, Hefei, China.
Medicine
|April 19, 2024
概括
本研究确定了在接受维护血液透析 (MHD) 的患者中动脉静脉 (AVF) 功能障碍的关键风险因素. 晚年,糖尿病,高脂血症,高D-二次数和高血症预测AVF失败,有助于早期干预.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 血管外科 血管外科
- 临床预测建模临床预测建模
背景情况:
- 动脉静脉 (AVF) 功能障碍是接受维持血液透析 (MHD) 的患者的主要并发症.
- 早期预测AVF功能障碍对于及时干预和改善患者结果至关重要.
研究的目的:
- 开发和验证MHD患者AVF功能障碍的早期临床预测模型.
- 为了确定与AVF功能障碍相关的独立风险因素.
主要方法:
- 对150名MHD患者的回顾性分析.
- 使用了LASSO回归和多因素后勤回归.
- 构建了一个Nomogram模型并使用AUC,校准曲线和Hosmer-Lemeshow测试验证其准确性.
主要成果:
- 确定了5个AVF功能障碍的独立风险因素:晚年,糖尿病,超脂血,D-二次数升高和超血.
- 预测模型达到0.934的AUC,这表明它的准确性很高.
- 内部验证证实了该模型的稳定性,AUC为0.911.
结论:
- 开发的Nomogram模型有效地预测了MHD患者的AVF功能障碍.
- 早期识别高风险因素可以指导预防策略,提高AVF生存率.
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