Development and verification of a prediction model for outcomes of elderly patients with nursing home-acquired pneumonia.
Appl Nurs Res
; 78: 151816, 2024 08.
Article
em En
| MEDLINE
| ID: mdl-39053996
ABSTRACT
BACKGROUND:
Among all infections in nursing homes, pneumonia has the highest mortality. Nurses have a 24-h relationship with patients and have a key role in identifying and preventing adverse outcomes. However, tools to engage nurses in pneumonia patient outcomes evaluation have not occurred.PURPOSE:
This study aimed to develop and validate a prediction model to predict the outcome of elderly patients with nursing home-acquired pneumonia (NHAP).METHODOLOGY:
A retrospective observational study was conducted with 219 elderly NHAP patients. Baseline characteristics, health history, and treatment/nursing status were collected. Variables for constructing nomograms were screened by univariate and multivariate analysis. The nomogram model was evaluated using the concordance index (C-index), decision curve analysis (DCA) curves, and receiver operating characteristic (ROC) curves.RESULTS:
9 independent risk factors were identified and assembled into the nomogram. The nomogram exhibited reasonably accurate discrimination (area under the receiver operating characteristic curve (AUC-ROC) 0.931, P < 0.05) and calibration (C-index 0.931, 95 % CI 0.898-0.964) in the validation cohort. DCA and clinical impact curves demonstrated that the nomogram was clinically beneficial.CONCLUSIONS:
A visualization nomogram model was successfully established for predicting the outcome of the NHAP elderly patients. The model has extremely high reliability, extremely high predictive ability, and good clinical applicability.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pneumonia
/
Casas de Saúde
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Appl Nurs Res
/
Appl. nurs. res
/
Applied nursing research
Assunto da revista:
ENFERMAGEM
Ano de publicação:
2024
Tipo de documento:
Article
País de publicação:
Estados Unidos