影响因素和预测模型的贫血在住院的老年患者
Shaojie Bi1, Guiyue Meng2, Ning Wei3
1Department of Cardiology, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, 250033, China.
Scientific reports
|October 9, 2025
概括
老年患者的贫血是由年龄,炎症标志物如C反应蛋白 (CRP) 和低维生素D预测的. 一个新的模型准确地识别了早期干预的风险人群.
科学领域:
- 老年学是指老年学的学科.
- 血液学 血液学 血液学
- 临床医学 临床医学
背景情况:
- 贫血是老年人群中普遍存在的严重健康问题.
- 了解老年人贫血的复杂原因对于有效管理至关重要.
- 需要早期检测和干预策略,以减轻贫血对这一人口群体的健康影响.
研究的目的:
- 确定导致老年患者贫血的关键因素.
- 在这个人群中开发和验证贫血的预测模型.
- 为了促进早期发现和干预老年人贫血.
主要方法:
- 追溯队列研究分析了864名老年住院患者的数据.
- 多变量逻辑回归被用于开发贫血的预测模型.
- 使用歧视和校准指标评估模型性能,包括AUC.
主要成果:
- 贫血的重要预测因素包括晚年,高C反应蛋白 (CRP) 和活性部分血栓形成时间 (APTT).
- 减少的白蛋白 (ALB), (Ca) 和25-氧维生素D [25(OH) D]水平也是显著的预测因素.
- 多重耐药性 (MDR) 被确定为风险因素,预测模型实现了0.955.5的AUC.
结论:
- 这项研究强调了老年人贫血中人口,临床和实验室因素的复杂相互作用.
- 结合这些因素的强大预测模型可以准确地识别患有贫血风险的老年患者.
- 开发的框架为老年患者的早期贫血识别和管理提供了一种实际方法.
相关概念视频
Factors Affecting Erythropoiesis
5.4K
The cardiovascular system regulates the number of erythrocytes in the bloodstream to ensure optimal oxygen transport. It also prevents over-proliferation of these cells, which helps to maintain blood viscosity and flow rate.
Several factors influence the erythrocyte production rate, with tissue oxygen level being among the most critical. Intense exercise or high altitudes can cause tissue hypoxia, which triggers the kidneys to release more erythropoietin (EPO) into the bloodstream.
EPO then...
Several factors influence the erythrocyte production rate, with tissue oxygen level being among the most critical. Intense exercise or high altitudes can cause tissue hypoxia, which triggers the kidneys to release more erythropoietin (EPO) into the bloodstream.
EPO then...
5.4K
Factors Affecting Illness
5.1K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
5.1K
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion
234
In geriatric patients, renal physiology undergoes significant changes, including diminished renal blood flow and a lower glomerular filtration rate (GFR), leading to alterations in medication clearance. Drugs such as aminoglycoside antibiotics, lithium, and digoxin, which rely on glomerular filtration for removal from the body, particularly impact pharmacokinetics. These drugs tend to have slower clearance rates in older adults, necessitating careful dosage considerations.Evaluation of renal...
234
Factors Affecting Protein-Drug Binding: Patient-Related Factors
305
Protein-drug binding, a pivotal aspect of pharmacokinetics, is subject to considerable variability influenced by an array of patient-related factors. The intricate interplay of age, individual differences, and pathological conditions significantly impact the binding dynamics and subsequent pharmacological effects.
Age stands as a key determinant in protein-drug binding. Neonates, characterized by low albumin content, experience heightened concentrations of unbound drugs such as phenytoin and...
Age stands as a key determinant in protein-drug binding. Neonates, characterized by low albumin content, experience heightened concentrations of unbound drugs such as phenytoin and...
305
Drug Dosing: Geriatric Patients
225
Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
225
Bioavailability: Influencing Factors
336
Bioavailability refers to the extent and rate at which a drug reaches systemic circulation in its active form. Extent refers to the amount of the drug that makes it into circulation, while rate is the speed at which it enters circulation. It is influenced by several factors critical for optimizing drug formulations, dosing regimens, and therapeutic outcomes.Physicochemical properties of drugs and formulationsThe solubility, stability, and dissolution rate of a drug significantly impact its...
336

