Evidence map›Paper›PMID 37715131›Full record

ArticleBMC geriatrics2023

A nomogram model for predicting malnutrition among older hospitalized patients with type 2 diabetes: a cross-sectional study in China.

Qian Ran, Xili Zhao, Jiao Tian, Siyuan Gong, Xia Zhang

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 18% of its field
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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. 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

5 authors at 4 institutions in 1 country.

Qian RanDepartment of Endocrinology, Jiangnan Campus, the Second Affiliated Hospital of Chongqing Medical University, Tianwen Street, Nanan District, Chongqing, 401336, People's Republic of China.
Xili ZhaoDepartment of Endocrinology, Jiangnan Campus, the Second Affiliated Hospital of Chongqing Medical University, Tianwen Street, Nanan District, Chongqing, 401336, People's Republic of China. 300313@hospital.cqmu.edu.cn.
Jiao TianDepartment of Endocrinology, Jiangnan Campus, the Second Affiliated Hospital of Chongqing Medical University, Tianwen Street, Nanan District, Chongqing, 401336, People's Republic of China.
Siyuan GongDepartment of Neurology, the Second Affiliated Hospital of Chongqing Medical University, Chongqing, 401336, People's Republic of China.
Xia ZhangDepartment of Endocrinology, Chongqing City Hospital of Traditional Chinese Medicine, Chongqing, 400011, People's Republic of China.
Second Affiliated Hospital of Chongqing Medical University · CNChongqing Medical University · CNDalian Medical University · CNFirst People's Hospital of Chongqing · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMalnutrition remains a pervasive issue among older adults, a prevalence that is markedly higher among those diagnosed with diabetes. The primary objective of this study was to develop and validate a risk prediction model that can accurately identify instances of malnutrition among elderly hospitalized patients with type 2 diabetes mellitus (T2DM) within a Chinese demographic.

methodsThis cross-sectional study was conducted between August 2021 and August 2022, we enrolled T2DM patients aged 65 years and above from endocrinology wards. The creation of a nomogram for predicting malnutrition was based on risk factors identified through univariate and multivariate logistic regression analyses. The predictive accuracy of the model was evaluated by the receiver operating characteristic curve (ROC),the area under the ROC (AUC), the concordance index (C-index), and calibration curves.

resultsThe study included a total of 248 older T2DM patients, with a recorded malnutrition prevalence of 26.21%. The identified critical risk factors for malnutrition in this cohort were body mass index, albumin, impairment in activities of daily living, dietary habits, and glycosylated hemoglobin. The AUC of the nomogram model reached 0.914 (95% CI: 0.877-0.951), with an optimal cutoff value of 0.392. The model demonstrated a sensitivity of 80.0% and a specificity of 88.5%. Bootstrap-based internal verification results revealed a C-index of 0.891, while the calibration curves indicated a strong correlation between the actual and predicted malnutrition risks.

conclusionsThis study underscores the critical need for early detection of malnutrition in older T2DM patients. The constructed nomogram represents a practical and reliable tool for the rapid identification of malnutrition among this vulnerable population.

Indexed as

Diabetes Mellitus, Type 2MalnutritionActivities of Daily LivingAgedChinaCross-Sectional StudiesHumansNomogramsMalnutritionNomogramOlderPrediction modelRisk factorsType 2 diabetes

Identifiers

PMID37715131
PMCPMC10503093
OpenAlexW4386780187

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LicenceCC BY
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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.