Evidence map›Paper›PMID 38116193›Full record

ArticleDegenerative neurological and neuromuscular disease2023

Development and Validation of a Risk Prediction Model to Estimate the Risk of Stroke Among Hypertensive Patients in University of Gondar Comprehensive Specialized Hospital, Gondar, 2012 to 2022.

Yazachew Moges Chekol, Mehari Woldemariam Merid, Getayeneh Antehunegn Tesema, Tigabu Kidie Tesfie, Tsion Mulat Tebeje, Negalegn Byadgie Gelaw, Nebiyu Bekele Gebi, Wullo Sisay Seretew

Open access · diamondAbstract read
In one paragraph

Article in Degenerative neurological and neuromuscular disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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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

8 authors at 4 institutions in 1 country.

Yazachew Moges ChekolDepartment of Health Information Technician, Mizan Aman College of Health Science, Mizan Aman, Ethiopia.ORCID 0000-0002-2616-3823
Mehari Woldemariam Merid *Department of Epidemiology and Biostatistics, University of Gondar, Gondar, Ethiopia.
Getayeneh Antehunegn Tesema *Department of Epidemiology and Biostatistics, University of Gondar, Gondar, Ethiopia.ORCID 0000-0001-6812-1659
Tigabu Kidie Tesfie *Department of Public Health, Debre Markos University, Debre Markos, Ethiopia.
Tsion Mulat Tebeje *Department of Epidemiology and Biostatistics, Dilla University, Dilla, Ethiopia.ORCID 0000-0002-2911-2095
Negalegn Byadgie Gelaw *Department of Public Health, Mizan Aman College of Health Science, Mizan Aman, Ethiopia.
Nebiyu Bekele Gebi *Department of Medicine, University of Gondar, Gondar, Ethiopia.ORCID 0000-0002-7113-3324
Wullo Sisay Seretew *Department of Epidemiology and Biostatistics, University of Gondar, Gondar, Ethiopia.
University of Gondar · ETMizan Tepi University · ETDebre Markos University · ETDilla University · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: A risk prediction model to predict the risk of stroke has been developed for hypertensive patients. However, the discriminating power is poor, and the predictors are not easily accessible in low-income countries. Therefore, developing a validated risk prediction model to estimate the risk of stroke could help physicians to choose optimal treatment and precisely estimate the risk of stroke. Objective: This study aims to develop and validate a risk prediction model to estimate the risk of stroke among hypertensive patients at the University of Gondar Comprehensive Specialized Hospital. Methods: A retrospective follow-up study was conducted among 743 hypertensive patients between September 01/2012 and January 31/2022. The participants were selected using a simple random sampling technique. Model performance was evaluated using discrimination, calibration, and Brier scores. Internal validity and clinical utility were evaluated using bootstrapping and a decision curve analysis. Results: Incidence of stroke was 31.4 per 1000 person-years (95% CI: 26.0, 37.7). Combinations of six predictors were selected for model development (sex, residence, baseline diastolic blood pressure, comorbidity, diabetes, and uncontrolled hypertension). In multivariable logistic regression, the discriminatory power of the model was 0.973 (95% CI: 0.959, 0.987). Calibration plot illustrated an overlap between the probabilities of the predicted and actual observed risks after 10,000 times bootstrap re-sampling, with a sensitivity of 92.79%, specificity 93.51%, and accuracy of 93.41%. The decision curve analysis demonstrated that the net benefit of the model was better than other intervention strategies, starting from the initial point. Conclusion: An internally validated, accurate prediction model was developed and visualized in a nomogram. The model is then changed to an offline mobile web-based application to facilitate clinical applicability. The authors recommend that other researchers eternally validate the model.

Indexed as

a risk prediction modelGondarhypertensive patientsnomogramstroke

Identifiers

PMID38116193
PMCPMC10728309
OpenAlexW4389743722

What OpenQuestion holds

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LicenceCC BY-NC
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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.