预测慢性病患者认知功能障碍的诺米图:全国横截面调查
Tong Zhou1, Heping Zhang1, Jiayu Zhao2
1Department of Nephrology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China.
Heliyon
|May 3, 2024
概括
这项研究开发了一种名谱,用于预测慢性病患者的认知功能障碍 (CFI). 在CKD中早期发现CFI可以改善患者的治疗结果和治疗坚持.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 神经学 神经学
- 生物统计学 生物统计学
背景情况:
- 认知功能障碍 (CFI) 在慢性病 (CKD) 患者中很普遍.
- CFI对CKD患者的治疗坚持和生活质量产生负面影响.
研究的目的:
- 为在慢性病 (CKD) 患者中早期检测认知功能障碍 (CFI) 开发一种简化的名谱.
主要方法:
- 利用了来自国家健康和营养检查调查 (1999-2002,2011-2014) 的数据.
- 在变量选择和模型构建中采用逐步逻辑回归.
- 使用C统计和障碍得分 (BS) 评估模型性能.
- 用Kaplan-Meier生存曲线分析了风险组死亡预后.
主要成果:
- 最终的模型包括年龄,种族,教育,收入,BMI,eGFR,血清白蛋白和尿酸.
- 在开发队列中,名图实现了0.808的C统计和0.149的BS统计.
- 外部验证显示C统计值为0.752和BS为0.182.
- 通过名图识别的较高风险群体的整体存活时间明显较短.
结论:
- 为预测慢性脏病患者的CFI而建立了一个有效的诺姆图.
- 该工具促进了早期CFI检测,并指导了CKD的临床管理.
- 诺米图有助于识别有针对性的干预措施的高风险个体.
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