恶性瘤患者低摄入量脱水的危险因素和预测模型的构建
Lili Zhang1, Min Chen1, Nana Liu1
1Oncology Department, Suzhou Ninth People's Hospital Suzhou 215200, Jiangsu, China.
American journal of translational research
|December 19, 2025
概括
癌症患者的低摄入量脱水与年龄,白蛋白,瘤持续时间,吞问题和功能评分有关. 一个新的诺莫格拉姆模型准确地预测了这种风险,有助于临床管理.
科学领域:
- 在瘤学瘤学.
- 临床营养学 临床营养学
- 老年病的医生 老年病的医生
背景情况:
- 低摄入量脱水是患有恶性瘤的患者的一个重大问题.
- 识别预测因素对于早期干预和改善患者结果至关重要.
研究的目的:
- 为了确定与癌症患者低摄入量脱水相关的因素.
- 开发和验证一种名录模型,用于预测低摄入量脱水的风险.
主要方法:
- 分析了383名恶性瘤患者的队列.
- 后勤回归确定了风险因素;构建和验证了一个名图.
- 用ROC曲线和决策曲线分析评估模型性能.
主要成果:
- 年龄 (≥60岁),低血清白蛋白,较长的瘤持续时间,消化不良,低CASQ分数和低巴特尔指数 (BI) 分数是显著的预测因素.
- 诺米图表显示出良好的预测准确性 (AUC = 0.861) 和稳定性.
结论:
- 年龄,白蛋白,瘤持续时间,消化不良,CASQ和BI分数是癌症患者低摄入量脱水的关键因素.
- 开发的诺米图为评估和管理脱水风险提供了有价值的工具.
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