Evidence map›Paper›PMID 39822526›Full record

ArticleAmerican journal of translational research2024

Association between type 2 diabetes mellitus and Klebsiella pneumoniae colonization: construction of nomogram model.

Xiaoying Li, Hui Zhang, Huili Hu, Xiaolei Song, Beizheng Leng

Abstract read
In one paragraph

Article in American journal of translational research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Clinical characteristics and prognosis of central nervous system Klebsiella pneumoniae infection: a focus on hypervirulent and classical strains.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Xiaoying LiDepartment of Infectious Diseases, Shanghai Fifth People's Hospital Shanghai 200240, China.
Hui ZhangDepartment of Laboratory Medicine, Shanghai Fifth People's Hospital Shanghai 200240, China.
Huili HuDepartment of Infectious Diseases, Shanghai Fifth People's Hospital Shanghai 200240, China.
Xiaolei SongDepartment of Infectious Diseases, Shanghai Fifth People's Hospital Shanghai 200240, China.
Beizheng LengDepartment of Infectious Diseases, Shanghai Fifth People's Hospital Shanghai 200240, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the association between the basic and clinical characteristics of patients with type 2 diabetes mellitus (T2DM) and their susceptibility to Klebsiella pneumoniae colonization (KPC). Additionally, a clinical prediction model was developed to identify high-risk patients for KPC.

methodsData from 486 T2DM patients who visited Shanghai Fifth People's Hospital from December 2020 to December 2022 were retrospectively collected. Patients were classified into the KPC group and normal group based on their Klebsiella pneumoniae test results. Differences between the two groups were analyzed using t-test and chi-square test. Logistic regression was performed to identify factors influencing KPC susceptibility in T2DM patients, with odds ratios (ORs) calculated. A clinical prediction model was constructed using a nomogram and evaluated through the area under the receiver operating characteristic (ROC) curve (AUC), Hosmer-Lemeshow test, calibration curve, and decision curve analysis (DCA).

resultsOf the 486 T2DM patients, 124 were found to have KPC, with a colonization rate of 25.51%. Logistic regression analysis revealed that hospitalization within the past six months, elevated white blood cell count, decreased hemoglobin, and elevated ferritin levels were independent risk factors for KPC. Thyroid and liver function indicators were also associated with KPC susceptibility. The clinical prediction model achieved an AUC of 0.74 (95% CI: 0.68-0.80). The calibration curve indicated no significant differences between observed and predicted values, suggesting that the model effectively identifies high-risk KPC patients.

conclusionT2DM patients are at an increased risk of secondary KPC. Identifying key risk factors for KPC in T2DM patients has significant clinical implications for early identification, targeted interventions, and individualized treatment strategies.

Indexed as

clinical prediction modelcolonizationKlebsiella pneumoniaeType 2 diabetes mellitus

Identifiers

PMID39822526
PMCPMC11733326

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