Chinese General Practice ›› 2022, Vol. 25 ›› Issue (24): 3029-3035.DOI: 10.12114/j.issn.1007-9572.2022.0207
Special Issue: 心血管最新文章合集; 营养最新文章合集; 老年问题最新文章合集
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Received:
2022-01-19
Revised:
2022-04-11
Published:
2022-08-20
Online:
2022-06-02
Contact:
Tao TIAN
About author:
通讯作者:
田涛
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URL: https://www.chinagp.net/EN/10.12114/j.issn.1007-9572.2022.0207
组别 | 例数 | 性别(男/女) | 年龄( | 身高( | 体质量( | BMI( | ALB( | GNRI( | NRS2002评分( |
---|---|---|---|---|---|---|---|---|---|
住院死亡组 | 43 | 30/13 | 77.3±7.2 | 168.0±7.3 | 62.8±13.3 | 22.2±4.0 | 32.11±5.30 | 86.9±10.8 | 4.4±1.2 |
住院存活组 | 156 | 106/50 | 77.4±8.2 | 165.5±7.2 | 63.1±11.6 | 23.0±3.8 | 37.27±5.18 | 97.1±10.8 | 3.0±1.2 |
t(χ2)值 | 0.052a | 2.060 | 2.040 | -0.121 | -1.251 | -5.744 | -5.503 | 6.991 | |
P值 | 0.820 | 0.040 | 0.420 | 0.900 | 0.210 | <0.001 | <0.001 | <0.001 |
Table 1 Comparison of baseline data and NRS2002 score between in-hospital dead and survived elderly patients with chronic heart failure
组别 | 例数 | 性别(男/女) | 年龄( | 身高( | 体质量( | BMI( | ALB( | GNRI( | NRS2002评分( |
---|---|---|---|---|---|---|---|---|---|
住院死亡组 | 43 | 30/13 | 77.3±7.2 | 168.0±7.3 | 62.8±13.3 | 22.2±4.0 | 32.11±5.30 | 86.9±10.8 | 4.4±1.2 |
住院存活组 | 156 | 106/50 | 77.4±8.2 | 165.5±7.2 | 63.1±11.6 | 23.0±3.8 | 37.27±5.18 | 97.1±10.8 | 3.0±1.2 |
t(χ2)值 | 0.052a | 2.060 | 2.040 | -0.121 | -1.251 | -5.744 | -5.503 | 6.991 | |
P值 | 0.820 | 0.040 | 0.420 | 0.900 | 0.210 | <0.001 | <0.001 | <0.001 |
组别 | 例数 | 性别(男/女) | 年龄( | 身高( | 体质量( | BMI( | ALB( | GNRI( | NRS2002评分( |
---|---|---|---|---|---|---|---|---|---|
1年死亡组 | 51 | 34/17 | 77.4±7.2 | 168.1±7.3 | 63.2±12.9 | 22.3±4.0 | 32.50±5.29 | 88.0±11.1 | 4.4±1.1 |
1年存活组 | 148 | 102/46 | 74.2±8.2 | 165.3±7.2 | 63.0±11.6 | 23.0±3.8 | 37.41±5.17 | 97.3±10.6 | 2.9±1.2 |
t(χ2)值 | 0.089a | 2.478 | 2.378 | 0.119 | -1.099 | -5.810 | -5.346 | 8.271 | |
P值 | 0.766 | 0.014 | 0.018 | 0.905 | 0.270 | <0.001 | <0.001 | <0.001 |
Table 2 Comparison of baseline data and NRS2002 score between one-year dead and survived elderly patients with chronic heart failure
组别 | 例数 | 性别(男/女) | 年龄( | 身高( | 体质量( | BMI( | ALB( | GNRI( | NRS2002评分( |
---|---|---|---|---|---|---|---|---|---|
1年死亡组 | 51 | 34/17 | 77.4±7.2 | 168.1±7.3 | 63.2±12.9 | 22.3±4.0 | 32.50±5.29 | 88.0±11.1 | 4.4±1.1 |
1年存活组 | 148 | 102/46 | 74.2±8.2 | 165.3±7.2 | 63.0±11.6 | 23.0±3.8 | 37.41±5.17 | 97.3±10.6 | 2.9±1.2 |
t(χ2)值 | 0.089a | 2.478 | 2.378 | 0.119 | -1.099 | -5.810 | -5.346 | 8.271 | |
P值 | 0.766 | 0.014 | 0.018 | 0.905 | 0.270 | <0.001 | <0.001 | <0.001 |
组别 | 例数 | 性别(男/女) | 年龄( | 身高( | 体质量( | BMI( | ALB( | GNRI( | NRS2002评分( |
---|---|---|---|---|---|---|---|---|---|
半年再入院组 | 69 | 43/26 | 76.1±7.9 | 167.1±7.5 | 61.5±11.9 | 22.0±3.6 | 32.69±5.22 | 88.4±9.9 | 4.0±1.3 |
非半年再入院组 | 130 | 93/37 | 74.5±8.1 | 165.5±7.1 | 63.9±11.9 | 23.3±3.9 | 38.00±4.91 | 98.4±10.7 | 2.9±1.1 |
t(χ2)值 | 1.771a | 1.377 | -1.500 | 1.340 | -2.331 | -7.097 | -6.455 | 5.966 | |
P值 | 0.183 | 0.170 | 0.580 | 0.730 | 0.021 | <0.001 | <0.001 | <0.001 |
Table 3 Comparison of baseline data and NRS2002 score between elderly chronic heart failure patients with readmission within half a year and those with readmission after half a year
组别 | 例数 | 性别(男/女) | 年龄( | 身高( | 体质量( | BMI( | ALB( | GNRI( | NRS2002评分( |
---|---|---|---|---|---|---|---|---|---|
半年再入院组 | 69 | 43/26 | 76.1±7.9 | 167.1±7.5 | 61.5±11.9 | 22.0±3.6 | 32.69±5.22 | 88.4±9.9 | 4.0±1.3 |
非半年再入院组 | 130 | 93/37 | 74.5±8.1 | 165.5±7.1 | 63.9±11.9 | 23.3±3.9 | 38.00±4.91 | 98.4±10.7 | 2.9±1.1 |
t(χ2)值 | 1.771a | 1.377 | -1.500 | 1.340 | -2.331 | -7.097 | -6.455 | 5.966 | |
P值 | 0.183 | 0.170 | 0.580 | 0.730 | 0.021 | <0.001 | <0.001 | <0.001 |
变量 | β | SE | Waldχ2值 | P值 | OR值 | 95%CI | |
---|---|---|---|---|---|---|---|
住院死亡 | |||||||
年龄 | -0.045 | 0.027 | 2.857 | 0.089 | 1.05 | (1.00,1.10) | |
身高 | -0.044 | 0.030 | 2.130 | 0.142 | 1.04 | (0.99,1.11) | |
ALB | 0.209 | 0.079 | 6.969 | 0.011 | 0.81 | (0.70,0.95) | |
GNRI | -0.033 | 0.039 | 0.720 | 0.392 | 1.03 | (0.96,1.12) | |
NRS2002评分 | -0.887 | 0.190 | 21.749 | <0.001 | 2.43 | (1.67,3.53) | |
1年死亡 | |||||||
年龄 | -0.061 | 0.027 | 5.277 | 0.022 | 1.06 | (1.01,1.12) | |
身高 | -0.057 | 0.030 | 3.624 | 0.570 | 1.05 | (1.00,1.12) | |
ALB | 0.271 | 0.083 | 10.691 | 0.013 | 0.76 | (0.65,0.90) | |
GNRI | -0.071 | 0.400 | 3.087 | 0.792 | 1.10 | (1.00,1.16) | |
NRS2002评分 | -1.131 | 0.202 | 31.223 | <0.001 | 3.10 | (2.10,4.61) | |
半年再入院 | |||||||
BMI | -0.019 | 0.094 | 0.039 | 0.843 | 0.98 | (0.82,1.19) | |
ALB | -0.248 | 0.105 | 5.612 | 0.180 | 0.78 | (0.64,0.96) | |
GNRI | 0.031 | 0.061 | 0.259 | 0.611 | 1.03 | (0.91,1.16) | |
NRS2002评分 | 0.666 | 0.154 | 18.606 | <0.001 | 1.95 | (1.44,2.63) |
Table 4 Multivariate Logistic regression analysis of prognostic factors in elderly patients with chronic heart failure
变量 | β | SE | Waldχ2值 | P值 | OR值 | 95%CI | |
---|---|---|---|---|---|---|---|
住院死亡 | |||||||
年龄 | -0.045 | 0.027 | 2.857 | 0.089 | 1.05 | (1.00,1.10) | |
身高 | -0.044 | 0.030 | 2.130 | 0.142 | 1.04 | (0.99,1.11) | |
ALB | 0.209 | 0.079 | 6.969 | 0.011 | 0.81 | (0.70,0.95) | |
GNRI | -0.033 | 0.039 | 0.720 | 0.392 | 1.03 | (0.96,1.12) | |
NRS2002评分 | -0.887 | 0.190 | 21.749 | <0.001 | 2.43 | (1.67,3.53) | |
1年死亡 | |||||||
年龄 | -0.061 | 0.027 | 5.277 | 0.022 | 1.06 | (1.01,1.12) | |
身高 | -0.057 | 0.030 | 3.624 | 0.570 | 1.05 | (1.00,1.12) | |
ALB | 0.271 | 0.083 | 10.691 | 0.013 | 0.76 | (0.65,0.90) | |
GNRI | -0.071 | 0.400 | 3.087 | 0.792 | 1.10 | (1.00,1.16) | |
NRS2002评分 | -1.131 | 0.202 | 31.223 | <0.001 | 3.10 | (2.10,4.61) | |
半年再入院 | |||||||
BMI | -0.019 | 0.094 | 0.039 | 0.843 | 0.98 | (0.82,1.19) | |
ALB | -0.248 | 0.105 | 5.612 | 0.180 | 0.78 | (0.64,0.96) | |
GNRI | 0.031 | 0.061 | 0.259 | 0.611 | 1.03 | (0.91,1.16) | |
NRS2002评分 | 0.666 | 0.154 | 18.606 | <0.001 | 1.95 | (1.44,2.63) |
预后情况 | 评估方式 | AUC | 95%CI | P值 | 最佳截断值 | 约登指数 | 灵敏度 | 特异度 |
---|---|---|---|---|---|---|---|---|
住院死亡 | ALB | 0.76 | (0.68,0.84) | <0.001 | 31.35 | 0.44 | 0.84 | 0.60 |
NRS2002评分 | 0.80 | (0.73,0.86) | <0.001 | 3.50 | 0.42 | 0.72 | 0.30 | |
1年死亡 | ALB | 0.75 | (0.67,0.82) | <0.001 | 31.34 | 0.39 | 0.78 | 0.60 |
NRS2002评分 | 0.82 | (0.76,0.88) | <0.001 | 3.50 | 0.46 | 0.75 | 0.73 | |
半年再入院 | NRS2002评分 | 0.73 | (0.65,0.80) | <0.001 | 2.50 | 0.34 | 0.87 | 0.47 |
Table 5 Comparison of serum ALB and NRS2002 score for prognosis prediction in elderly patients with chronic heart failure
预后情况 | 评估方式 | AUC | 95%CI | P值 | 最佳截断值 | 约登指数 | 灵敏度 | 特异度 |
---|---|---|---|---|---|---|---|---|
住院死亡 | ALB | 0.76 | (0.68,0.84) | <0.001 | 31.35 | 0.44 | 0.84 | 0.60 |
NRS2002评分 | 0.80 | (0.73,0.86) | <0.001 | 3.50 | 0.42 | 0.72 | 0.30 | |
1年死亡 | ALB | 0.75 | (0.67,0.82) | <0.001 | 31.34 | 0.39 | 0.78 | 0.60 |
NRS2002评分 | 0.82 | (0.76,0.88) | <0.001 | 3.50 | 0.46 | 0.75 | 0.73 | |
半年再入院 | NRS2002评分 | 0.73 | (0.65,0.80) | <0.001 | 2.50 | 0.34 | 0.87 | 0.47 |
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