The predictive value of modified risk scores in patients with acute exacerbation of COPD: a retrospective cohort study

İlhan, Buğra; Berikol, Göksu Bozdereli; Doğan, Halil

doi:10.1007/s11739-022-03048-z

Cited by 5 publications

(1 citation statement)

References 29 publications

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“…Among these, septic shock is the most lethal complication of SCAP (20). Clinical features of tachycardia and low blood pressure indicate circulatory failure, they are also pivotal variables in predicting unfavorable outcomes in SCAP patients (21,22). Consistent with this conclusion, we observed that the non-survival group had a faster heart rate and lower mean arterial pressure than the survival group.…”

Section: Discussionsupporting

confidence: 83%

Development and validation of a predictive model for 30-day mortality in patients with severe community-acquired pneumonia in intensive care units

Zhang,

Peng,

Zhang

et al. 2024

Front. Med.

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BackgroundBased on the high prevalence and fatality rates associated with severe community-acquired pneumonia (SCAP), this study endeavored to construct an innovative nomogram for early identification of individuals at high risk of all-cause death within a 30-day period among SCAP patients receiving intensive care units (ICU) treatment.MethodsIn this single-center, retrospective study, 718 SCAP patients were screened from the Medical Information Mart for Intensive Care IV (MIMIC-IV) database for the development of a predictive model. A total of 97 patients eligible for inclusion were included from Chongqing General Hospital, China between January 2020 and July 2023 for external validation. Clinical data and short-term prognosis were collected. Risk factors were determined using the least absolute shrinkage and selection operator (LASSO) and multiple logistic regression analysis. The model’s performance was evaluated through area under the curve (AUC), calibration curve, and decision curve analysis (DCA).ResultsEight risk predictors, including age, presence of malignant cancer, heart rate, mean arterial pressure, albumin, blood urea nitrogen, prothrombin time, and lactate levels were adopted in a nomogram. The nomogram exhibited high predictive accuracy, with an AUC of 0.803 (95% CI: 0.756–0.845) in the training set, 0.756 (95% CI: 0.693–0.816) in the internal validation set, 0.778 (95% CI: 0.594–0.893) in the external validation set concerning 30-day mortality. Meanwhile, the nomogram demonstrated effective calibration through well-fitted calibration curves. DCA confirmed the clinical application value of the nomogram.ConclusionThis simple and reliable nomogram can help physicians assess the short-term prognosis of patients with SCAP quickly and effectively, and could potentially be adopted widely in clinical settings after more external validations.

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Section: Discussionsupporting

confidence: 83%