Evidence map›Paper›PMID 33378600›Full record

ArticleNursing open2021

Predictors of death within 6 months of stroke onset: A model with Barthel index, platelet/lymphocyte ratio and serum albumin.

Ling Sha, Tiantian Xu, Xijuan Ge, Lei Shi, Jing Zhang, Huimin Guo

Abstract read
In one paragraph

Article in Nursing open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ling ShaNursing Division of the Department of Neurology, Nanjing Drum Tower Hospital Affiliated to Nanjing University Medical School, Nanjing, China.ORCID 0000-0002-5394-6575
Tiantian XuNursing Division of the Department of Neurology, Nanjing Drum Tower Hospital Affiliated to Nanjing University Medical School, Nanjing, China.
Xijuan GeNursing Division of the Department of Neurology, Nanjing Drum Tower Hospital Affiliated to Nanjing University Medical School, Nanjing, China.
Lei ShiNursing Division of the Department of Neurology, Nanjing Drum Tower Hospital Affiliated to Nanjing University Medical School, Nanjing, China.
Jing ZhangNursing Division of the Department of Neurology, Nanjing Drum Tower Hospital Affiliated to Nanjing University Medical School, Nanjing, China.
Huimin GuoNursing Division of the Department of Neurology, Nanjing Drum Tower Hospital Affiliated to Nanjing University Medical School, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo develop and internally validate a nomogram to predict the risk of death within 6 months of onset of stroke in Chinese. Identifying risk factors with potentially direct effects on the nomogram will improve the quality of risk assessment and help nurses implement preventive measures based on patient-specific risk factors.

designA retrospective study.

methodsWe performed a least absolute shrinkage and selection operator (LASSO) regression modelling and multivariate logistic regression analysis to establish a prediction model of death risk in stroke patients within 6 months of onset. LASSO and time-dependent Cox regression models were further used to analyse the 6-month survival of stroke patients. Data were collected from 21 October 2013-6 May 2019.

resultsThe independent predictors of the nomogram were Barthel index (odds ratio (OR) = 0.980, 95% confidence interval (CI) = 0.961-0.998, p = .03), platelet/lymphocyte ratio (OR = 1.005, 95% CI = 1.000-1.010, p = .04) and serum albumin (OR = 0.854, 95% CI = 0.774-0.931, p < .01). This model showed good discrimination and consistency, and its discrimination evaluation C-statistic was 0.879 in the training set and 0.891 in the internal validation set. The DCA indicated that the nomogram had a higher overall net benefit over most of the threshold probability range. The time-dependent Cox regression model established the impact of the time effect of the age variable on survival time.

conclusionsOur results identified three predictors of death within 6 months of stroke in Chinese. These predictors can be used as risk assessment indicators to help caregivers performing clinical nursing work, and in clinical practice, it is suggested that nurses should evaluate the self-care ability of stroke patients in detail. The constructed nomogram can help identify patients at high risk of death within 6 months, so that intervention can be performed as early as possible.

Indexed as

Serum AlbuminStrokeHumansLymphocytesNomogramsRetrospective StudiesSerum AlbuminBarthel indexnomogramnursingPLRprediction modelserum albuminstroke

Identifiers

PMID33378600
PMCPMC8046075

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.