Risk factors and a nomogram for frailty in Chinese older patients with Alzheimer's disease: A single-center cross-sectional study

被引:6
作者
Li, Qingfeng [1 ]
Zhang, Shuping [2 ]
Wang, Xia [3 ]
Du, Mingchao [4 ]
Zhang, Qianqian [5 ]
机构
[1] Anhui Med Univ, Affiliated Hosp 1, Dept Nursing, Hefei 230022, Peoples R China
[2] Anhui Med Univ North Dist, Affiliated Hosp 1, Anhui Publ Clin Ctr, Dept Emergency Surg, Hefei 230009, Peoples R China
[3] Anhui Med Univ, Affiliated Hosp 1, Dept Neurol, Hefei 230022, Peoples R China
[4] Anhui Med Univ, Affiliated Hosp 1, Dept Informat Ctr, Hefei 230022, Peoples R China
[5] Anhui Med Univ, Affiliated Hosp 1, Dept Pediat, Hefei 230022, Peoples R China
关键词
Frailty; Nomogram; Alzheimer's disease; Risk factors; Prediction model; GLOBAL DETERIORATION SCALE; PHYSICAL-ACTIVITY; SOCIAL FRAILTY; VALIDATION; ADULTS; PREVALENCE; DIAGNOSIS; DEMENTIA; PEOPLE; AGE;
D O I
10.1016/j.gerinurse.2022.06.012
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
This study aimed to determine the risk factors of frailty in Chinese older patients with Alzheimer's disease (AD) and then construct a nomogram for frailty in this population. A total of 205 eligible older AD patients were recruited. Patients' general demographic characteristics were collected through a self-designed questionnaire. A nomogram was constructed for frailty based on the risk factors identified from the multivariate analysis. The discrimination and calibration capabilities of this nomogram were assessed with the C-index and calibration curve, respectively. The results showed that older age, no regular exercise habit, severe cognitive decline, and low social support were identified as important risk factors of frailty in AD patients. The C-index of the nomogram was 0.884 by bootstrapping validation, and the calibration curve of the nomogram showed high coherence between the predicted and actual probabilities of frailty. In conclusion, this nomogram was validated to have favorable discrimination and calibration capabilities. (c) 2022 Elsevier Inc. All rights reserved.
引用
收藏
页码:63 / 70
页数:8
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