Evidence map›Paper›PMID 42039364›Full record

ArticleFrontiers in cardiovascular medicine2026

External validation of three risk prediction models for deep vein thrombosis in patients with acute stroke: a single-center cohort study.

Lina Fu, Kairu Feng, Chunyan Cui, Lanjun Li, Bing Zou, Nan Liu

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Article in Frontiers in cardiovascular medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Lina FuInstitute of Environment and Health, South China Hospital, Medical School, Shenzhen University, Shenzhen, China.
Kairu FengInstitute of Environment and Health, South China Hospital, Medical School, Shenzhen University, Shenzhen, China.
Chunyan CuiInstitute of Chronic Disease Risks Assessment, School of Nursing and Health, Henan University, Kaifeng, China.
Lanjun LiInstitute of Chronic Disease Risks Assessment, School of Nursing and Health, Henan University, Kaifeng, China.
Bing ZouInstitute of Environment and Health, South China Hospital, Medical School, Shenzhen University, Shenzhen, China.
Nan LiuInstitute of Environment and Health, South China Hospital, Medical School, Shenzhen University, Shenzhen, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: To evaluate the predictive performance of three previously established risk models for deep vein thrombosis (DVT) in patients with acute stroke and to support model selection in clinical practice. Methods: In this single-center spatial validation cohort study, patients diagnosed with acute stroke and admitted to the Stroke Center of South China Hospital of Shenzhen University between January 2023 and January 2025 were consecutively enrolled. Three DVT prediction models, previously identified by a systematic review conducted by our research team, were selected for external validation. Model performance was assessed by the area under the receiver operating characteristic curve (AUC), Brier score, bootstrap calibration curves, and decision curve analysis (DCA). Results: A total of 1,270 patients with acute stroke were included, among whom 217 developed DVT, yielding an incidence of 17.08%. The AUCs were 0.699, 0.804, and 0.753 for the Shen Xiaofang, Lu Qiufang, and Xi Pan models, respectively. The Lu Qiufang model achieved the highest positive predictive value (48.4%), specificity (84.9%), accuracy (82.1%), and Youden index (0.536). All three models had negative predictive values exceeding 90%. The Brier scores were 0.182, 0.154, and 0.245. Calibration curves indicated that the Lu Qiufang model demonstrated the best goodness-of-fit, whereas the Shen Xiaofang and Xi Pan models exhibited systematic bias in certain risk intervals. DCA curves showed that the Lu Qiufang model provided greater net benefit within the threshold probability range of approximately 0.20-0.70, indicating superior clinical decision value. Conclusion: All three DVT risk prediction models demonstrated acceptable predictive performance in patients with acute stroke. Among them, the Lu Qiufang model showed comparatively superior discrimination, calibration, and clinical net benefit. However, given the single-center design of this study, further multicenter and cross-regional validation studies are warranted to confirm model transportability and generalizability across diverse healthcare settings.

Indexed as

acute strokedeep vein thrombosisexternal validationrisk prediction modelsystematic review

Identifiers

PMID42039364
PMCPMC13106147

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