Evidence map›Paper›PMID 39095700›Full record

ArticleBMC neuroscience2024

Establishment and evaluation of a clinical prediction model for cognitive impairment in patients with cerebral small vessel disease.

Fangfang Zhu, Jie Yao, Min Feng, Zhongwu Sun

Abstract read
In one paragraph

Article in BMC neuroscience, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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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

4 authors.

Fangfang ZhuDepartment of Neurology, The First Affiliated Hospital of Anhui Medical University, Hefei, 230000, China.
Jie YaoDepartment of Neurology, The Second Affiliated Hospital of Bengbu Medical University, Bengbu, 233000, China.
Min FengDepartment of Neurology, The Second Affiliated Hospital of Bengbu Medical University, Bengbu, 233000, China.
Zhongwu SunDepartment of Neurology, The First Affiliated Hospital of Anhui Medical University, Hefei, 230000, China. sunzhwu@126.com.

Funding

The Natural Science Foundation of Bengbu Medical College No. 2021byzd190This study was supported by Anhui Provincial Higher Education Scientific Research Project (Natural Sciences) No.2022AH051490
6 · The paper itself

Abstract

backgroundThere are currently no effective prediction methods for evaluating the occurrence of cognitive impairment in patients with cerebral small vessel disease (CSVD).

aimsTo investigate the risk factors for cognitive dysfunction in patients with CSVD and to construct a risk prediction model.

methodsA retrospective study was conducted on 227 patients with CSVD. All patients were assessed by brain magnetic resonance imaging (MRI), and the Montreal Cognitive Assessment (MoCA) was used to assess cognitive status. In addition, the patient's medical records were also recorded. The clinical data were divided into a normal cognitive function group and a cognitive impairment group. A MoCA score < 26 (an additional 1 point for education < 12 years) is defined as cognitive dysfunction.

resultsA total of 227 patients (mean age 66.7 ± 6.99 years) with CSVD were included in this study, of whom 68.7% were male and 100 patients (44.1%) developed cognitive impairment. Age (OR = 1.070; 95% CI = 1.015 ~ 1.128, p < 0.05), hypertension (OR = 2.863; 95% CI = 1.438 ~ 5.699, p < 0.05), homocysteine(HCY) (OR = 1.065; 95% CI = 1.005 ~ 1.127, p < 0.05), lacunar infarct score(Lac_score) (OR = 2.732; 95% CI = 1.094 ~ 6.825, P < 0.05), and CSVD total burden (CSVD_score) (OR = 3.823; 95% CI = 1.496 ~ 9.768, P < 0.05) were found to be independent risk factors for cognitive decline in the present study. The above 5 variables were used to construct a nomogram, and the model was internally validated by using bootstrapping with a C-index of 0.839. The external model validation C-index was 0.867.

conclusionsThe nomogram model based on brain MR images and clinical data helps in individualizing the probability of cognitive impairment progression in patients with CSVD.

Indexed as

Cerebral Small Vessel DiseasesCognitive DysfunctionMagnetic Resonance ImagingAgedBrainFemaleHumansMaleMental Status and Dementia TestsMiddle AgedRetrospective StudiesRisk FactorsCerebral small vessel diseaseClinical prediction modelsCognitive impairmentNeuroimagingNomogram

Identifiers

PMID39095700
PMCPMC11295716

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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.