Evidence map›Paper›PMID 40687344›Full record

Observational studyClinical interventions in aging2025

Development and Validation of a Diagnostic Nomogram Model for Predicting Cognitive Frailty in Acute Coronary Syndrome.

Shan Wang, Ying Sun, Wen Tang, Shangxin Lu, Feng Feng, Xiaopei Hou, Lihong Ma, Runzhi Li, Jieqiong Hu, Bing Liu and 1 more

Abstract readObservational StudyValidation StudyValidation Study
In one paragraph

Observational study in Clinical interventions in aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. Article
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

11 authors.

Shan WangDepartment of Geriatrics, Beijing Friendship Hospital, Capital Medical University, Beijing, People's Republic of China.
Ying SunDepartment of Geriatrics, Beijing Friendship Hospital, Capital Medical University, Beijing, People's Republic of China.
Wen TangDepartment of Geriatrics, Beijing Friendship Hospital, Capital Medical University, Beijing, People's Republic of China.
Shangxin LuDepartment of Geriatrics, Beijing Friendship Hospital, Capital Medical University, Beijing, People's Republic of China.
Feng FengDepartment of Geriatrics, Beijing Friendship Hospital, Capital Medical University, Beijing, People's Republic of China.ORCID 0000-0002-0710-4684
Xiaopei HouDepartment of Geriatrics, Beijing Friendship Hospital, Capital Medical University, Beijing, People's Republic of China.
Lihong MaFuwai Hospital, Chinese Academy of Medical Sciences, Beijing, People's Republic of China.
Runzhi LiCooperative Innovation Center of Internet Healthcare, Zhengzhou University, Zhengzhou, Henan, People's Republic of China.
Jieqiong HuDepartment of Geriatrics, Beijing Friendship Hospital, Capital Medical University, Beijing, People's Republic of China.
Bing LiuDepartment of Geriatrics, Beijing Friendship Hospital, Capital Medical University, Beijing, People's Republic of China.
Yunli XingDepartment of Geriatrics, Beijing Friendship Hospital, Capital Medical University, Beijing, People's Republic of China.ORCID 0000-0001-9487-2325

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cognitive frailty (CF) is strongly associated with major adverse cardiovascular events, yet its assessment requires specialized equipment, limiting clinical practicality. This study aimed to develop and validate a nomogram model for predicting CF in patients with acute coronary syndrome (ACS) to enhance early identification and intervention. Methods: Patients with ACS (N=547) were enrolled and randomly split into a training set (70%) and a testing set (30%). The training set was used to construct the nomogram, while the testing set was used for validation. Model performance was evaluated using the receiver operating characteristic (ROC) curve, calibration curve, and decision curve analysis (DCA) to assess discrimination, accuracy, and clinical utility, respectively. Results: The nomogram included six predictors: education level, age, systolic blood pressure (SBP), Charlson Comorbidity Index (CCI), Short Physical Performance Battery (SPPB), and nutritional status. The model demonstrated strong discriminatory power, with an area under the ROC curve of 0.854 (95% CI: 0.741-0.861) in the training cohort and 0.733 (95% CI: 0.500-0.898) in the testing cohort. Calibration analysis confirmed high accuracy, and DCA indicated significant net benefits across both cohorts, supporting its clinical applicability. Conclusion: The nomogram effectively predicts CF in ACS patients by considering education, age, SBP, CCI, SPPB, and nutritional status, serving as a visual aid for healthcare providers to facilitate the early identification and intervention of CF. Future research is needed to validate the nomogram's efficacy in diverse populations and explore standardized assessment methods that enhance its clinical applicability in mitigating CF in ACS patients.

Indexed as

Acute Coronary SyndromeCognitive DysfunctionFrailtyNomogramsPredictive Learning ModelsAgedAged, 80 and overAge FactorsArea Under CurveBlood PressureCalibrationComorbidityEducational StatusFemaleGeriatric AssessmentHumansacute coronary syndromecognitive frailtynomogrampredictive modelrisk factors

Identifiers

PMID40687344
PMCPMC12274275

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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.