Evidence map›Paper›PMID 40660317›Full record

ArticleItalian journal of pediatrics2025

Development of an early mortality risk prediction model for pediatric patients with secondary hemophagocytic lymphohistiocytosis.

Nandu Luo, Guangli Yang, Pingping Zhang, Baoli Li, Yan Chen, Zuochen Du, Pei Huang

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Article in Italian journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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3 · Its place in the literature

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3 citing papers in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Nandu Luo *Department of Pediatrics, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Guangli Yang *Department of Pediatrics, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Pingping ZhangDepartment of Pediatrics, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Baoli LiDepartment of Pediatrics, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Yan ChenDepartment of Pediatrics, Affiliated Hospital of Zunyi Medical University, Zunyi, China. cyz600@163.com.
Zuochen DuDepartment of Pediatrics, Affiliated Hospital of Zunyi Medical University, Zunyi, China. dzc9036@126.com.
Pei HuangDepartment of Pediatrics, Affiliated Hospital of Zunyi Medical University, Zunyi, China. fenglin4620@163.com.ORCID http://orcid.org/0000-0003-2735-7758

Funding

Guizhou Provincial Science and Technology Project QKHCG[2024]ZD012Medical Research Union Fund for High-quality health development of Guizhou Province 2024GZYXKYJJXM0061Medical Research Union Fund for High-quality health development of Guizhou Province 2024GZYXKYJJXM0062Zunyi Municipal Science and Technology Project ZSKRPT-2023-6
6 · The paper itself

Abstract

backgroundTo establish a visual prediction model for the risk of early mortality in pediatric patients with secondary hemophagocytic lymphohistiocytosis (sHLH).

methodsA retrospective analysis was conducted on 128 pediatric sHLH cases diagnosed at the Affiliated Hospital of Zunyi Medical University between January 2012 and April 2023. Logistic regression analysis was employed to identify prognostic factors for pediatric patients with sHLH. A nomogram prediction model was constructed using R software. The receiver operating characteristic (ROC) curve, calibration curve, decision clinical curve (DCA), and clinical impact curve (CIC) were plotted to evaluate the discriminative power and clinical application value of the prediction model.

resultsAmong the 128 pediatric patients with sHLH included in the study, 90 (70.31%) were associated with infections, and 37 (28.9%) died within 30 days after admission. In the fully adjusted model, central nervous system involvement (CNSI) (OR = 9.496, 95% CI = 2.965-30.410), prognostic nutrition index (PNI) (OR = 0.931, 95% CI = 0.872-0.994), and activated partial thromboplastin time (APTT) (OR = 1.029, 95% CI = 1.007-1.052) were identified as independent risk factors affecting early mortality risk in pediatric patients with sHLH, while the use of blood purification combined with HLH-94/2004 treatment (OR = 0.097, 95% CI = 0.024-0.395) was an independent protective factor. Based on these independent prognostic factors, a nomogram prediction model was constructed. The ROC curve (AUC = 0.880) and calibration curve (χ

conclusionThe nomogram model has good discriminability and accuracy in predicting the risk of early death in pediatric patients with sHLH.

Indexed as

Lymphohistiocytosis, HemophagocyticNomogramsAdolescentChildChild, PreschoolChinaFemaleHumansInfantMalePrognosisRetrospective StudiesRisk AssessmentRisk FactorsROC CurveBlood purificationChildrenHemophagocytic lymphohistiocytosisNomogramPNIPrognostic factors

Identifiers

PMID40660317
PMCPMC12257782

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