A Nomogram for Predicting the Risk of Death in Patients with Prolonged Hospital Stays in Internal Medicine Wards: A Retrospective Study.

Objective: Prolonged hospital length of stay (PLOS) is associated with adverse outcomes, including increased healthcare costs, higher risk of complications, and increased mortality. This study aimed to investigate the relationship between PLOS and mortality among patients hospitalized in internal medicine wards and to develop a nomogram to predict the risk of death in this patient population. Methods: This retrospective study included patients hospitalized for more than 30 days in internal medicine wards between January 1, 2022, and December 31, 2022. Multivariate logistic regression analysis was used to identify independent risk factors for in-hospital mortality. The nomogram was constructed based on the independent factors. Calibration curves and receiver operating characteristic (ROC) curves were used to evaluate the predictive performance of the nomogram, and decision curve analysis (DCA) was conducted to assess its clinical utility. Results: A total of 1042 patients were included in this study, resulting in a mortality rate of 10.17%. Multivariate logistic regression analysis showed that age ( Conclusion: This nomogram effectively evaluates the risk of death for prolonged hospitalization of patients in internal medicine wards and holds significant potential for promotion in clinical practice.