Evidence map›Paper›PMID 37626576›Full record

ArticleBrain sciences2023

Prediction of 3-Year Survival in Patients with Cognitive Impairment Based on Demographics, Neuropsychological Data, and Comorbidities: A Prospective Cohort Study.

Dianxia Xing, Lihua Chen, Wenbo Zhang, Qingjie Yi, Hong Huang, Jiani Wu, Weihua Yu, Yang Lü

Abstract read
In one paragraph

Article in Brain sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Dianxia XingDepartment of Geriatrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
Lihua ChenDepartment of Geriatrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
Wenbo ZhangDepartment of Geriatrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
Qingjie YiDepartment of Quality Control, Chongqing University Three Gorges Hospital, Chongqing 404100, China.
Hong HuangDepartment of Geriatrics, Chongqing University Three Gorges Hospital, Chongqing 404100, China.
Jiani WuDepartment of Geriatrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
Weihua YuInstitute of Neuroscience, Chongqing Medical University, Chongqing 400016, China.
Yang LüDepartment of Geriatrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.ORCID 0000-0002-9425-2967

Funding

General Project of Technological Innovation and Application Development of Chongqing Science & Technology Bureau cstc2019jscx-msxmX0239Intelligent Medicine Program of Chongqing Medical University ZHYX2019008, ZHYX202110Key-project of Social undertakings and people's livelihood security of Chongqing Science & Technology Commission cstc2017shms-zdyfX0009National Key R&D Program of China 2018YFC2001700Science and Technology Research Program Of Chongqing Municipal Education Commission KJQN201900109Science Innovation Programs Led by the Academicians in Chongqing under Project cstc2019yszx-jscxX0004, cstc2020yszx-jscxX0006
6 · The paper itself

Abstract

objectivesBased on readily available demographic data, neuropsychological assessment results, and comorbidity data, we aimed to develop and validate a 3-year survival prediction model for patients with cognitive impairment.

methodsIn this prospective cohort study, 616 patients with cognitive impairment were included. Demographic information, data on comorbidities, and scores of the Mini-Mental State Examination (MMSE), Instrumental Activities of Daily Living (IADL) scale, and Neuropsychiatric Inventory Questionnaire were collected. Survival status was determined via telephone interviews and further verified in the official death register in the third year. A 7:3 ratio was used to divide patients into the training and validation sets. Variables with statistical significance (

resultsThe final cohort included 587 patients, of whom 525 (89.44%) survived and 62 (10.56%) died. Younger age, higher MMSE score, lower IADL score, absence of disinhibition, and Charlson comorbidity index score ≤ 1 were all associated with 3-year survival. These predictors yielded good discrimination with C-indices of 0.80 (0.73-0.87) and 0.85 (0.77-0.94) in the training and validation cohorts, respectively. According to the Hosmer-Lemeshow test results, neither cohort displayed any statistical significance, and calibration curves displayed a good match between predictions and results.

conclusionsOur study provided further insight into the factors contributing to the survival of patients with cognitive impairment. CLINICAL IMPLICATIONS: Our model showed good accuracy and discrimination ability, and it can be used at community hospitals or primary care facilities that lack sophisticated equipment.

Indexed as

cognitive dysfunctiondementianomogramsprognosissurvival rate

Identifiers

PMID37626576
PMCPMC10452564

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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.