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失能老年人身体虚弱风险预测模型的建立与验证

Development and validation of a risk prediction model for physical frailty in older adults who are disabled.

机构信息

The Fifth People's Hospital of Zhuhai, Zhuhai, China.

Zhuhai Campus of Zunyi Medical University, Zhuhai, China.

出版信息

Geriatr Nurs. 2024 Jul-Aug;58:26-38. doi: 10.1016/j.gerinurse.2024.04.020. Epub 2024 May 10.

Abstract

Physical frailty is highly prevalent among the older adults who are disabled. The aim of this study was to explore the risk factors for physical frailty in older adults who are disabled and construct a nomogram prediction model. The data source was the China Health and Retirement Longitudinal Study (CHARLS). The prediction model was validated with a cohort of 1183 older adults who are disabled. The results showed that sleep quality, depression, fatigue, and chronic disease were the best predictive factors. These factors were used to construct the nomogram model, which showed good concordance and accuracy. The prediction model yielded an Area under the curve (AUC) value of 0.760. Calibration curves showed significant agreement between the nomogram model and actual observations. Receiver operating characteristic (ROC) and Decision curve analysis (DCA) showed that the nomogram had good predictive performance. The nomogram is contributed to the screening of specific populations by clinicians.

摘要

身体虚弱在残疾老年人中非常普遍。本研究旨在探讨残疾老年人身体虚弱的危险因素,并构建列线图预测模型。数据来源于中国健康与养老追踪调查(CHARLS)。使用 1183 名残疾老年人的队列对预测模型进行验证。结果表明,睡眠质量、抑郁、疲劳和慢性病是最佳预测因素。这些因素被用于构建列线图模型,该模型显示出良好的一致性和准确性。预测模型的曲线下面积(AUC)值为 0.760。校准曲线显示列线图模型与实际观察结果具有显著一致性。接受者操作特征(ROC)和决策曲线分析(DCA)表明,该列线图具有良好的预测性能。该列线图有助于临床医生对特定人群进行筛查。

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