Evidence map›Paper›PMID 39972478›Full record

ArticleBMC oral health2025

Development and validation of risk-predicting model for oral frailty in older adults patients with stroke.

Ruirui Ma, Xiaoli Fan, Xiubin Tao, Wei Zhang, Zibao Li

Abstract readValidation Study
In one paragraph

Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 4 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

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

15 citing papers in PubMed, 4 syntheses or guidelines 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.

Ruirui Ma *Department of Neurology, The First Affiliated Hospital of Wannan Medical College, Wuhu, China.
Xiaoli Fan *Department of Neurology, The First Affiliated Hospital of Wannan Medical College, Wuhu, China. 1327893932@qq.com.
Xiubin TaoDepartment of Neurology, The First Affiliated Hospital of Wannan Medical College, Wuhu, China.
Wei ZhangDepartment of Neurology, The First Affiliated Hospital of Wannan Medical College, Wuhu, China.
Zibao LiDepartment of Neurology, The First Affiliated Hospital of Wannan Medical College, Wuhu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to construct a nomogram predicting oral frailty risk in Older adults patients with stroke.

designA cross-sectional study.

methodsWe selected 664 hospitalised older adults patients with stroke in a tertiary hospital from January 2023 to March 2024. Among them, 451 cases from January to December 2023 formed the modelling group, and 213 cases from January to March 2024 served as the validation group. Univariate and multivariate logistic regression analyses identified independent risk factors for oral frailty. A nomogram was developed and visualised using columnar charts. The model's predictive performance was assessed using the receiver operating characteristic curve and the Hosmer-Lemeshow test.

findingsThe prevalence of oral frailty was 47.7% in the modelling group and 47.9% in the validation groups, respectively. Age (OR = 10.351), frailty (OR = 9.171), number of comorbidities (OR = 11.301), nutritional risk (OR = 17.419), NIHSS (OR = 13.234), oral health evaluation index (OR = 0.316), Barthel index (OR = 0.247) were identified as significant independent risk factors. The areas under the receiver operating characteristic curve for the modelling and validation groups were 0.945 and 0.915, respectively.

conclusionA high prevalence of oral frailty was observed among Older adults patients with stroke with diverse risk factors. The nomogram provides an effective screening tool for identifying patients at high risk of oral frailty early in their hospital stay. The risk-prediction model showed good predictive efficacy and clinical utility.This study introduces a nomogram to predict oral frailty and identify associated risk factors in Older adults patients with stroke early on. It supports personalised care and precision medicine approaches in clinical practice.

Indexed as

FrailtyOral HealthStrokeAgedAged, 80 and overCross-Sectional StudiesFemaleGeriatric AssessmentHumansMaleNomogramsPrevalenceRisk AssessmentRisk FactorsROC CurveOral FrailtyPrediction modelRisk indicatorsStroke

Identifiers

PMID39972478
PMCPMC11841317

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.