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Construction and verification of a model for predicting fall risk in patients with maintenance hemodialysis

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16 dic 2024

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Figure 1.

ROC curve of the model predicting falls in patients with hemodialysis. ROC, receiver operating characteristic.
ROC curve of the model predicting falls in patients with hemodialysis. ROC, receiver operating characteristic.

Assignment table of independent variables_

Variable Assignment mode
Age (years) Plug in the original
Hearing or vision loss No = 0, yes = 1
Use of assistive devices No = 0, yes = 1
A history of falls in the past year No = 0, yes = 1
Frailty No = 0, yes = 1
Dialysis-related hypotension No = 0, yes = 1
TUG test <13.5 s = 0, ≥13.5 s = 1
Serum albumin (g/L) Plug in the original
Fasting blood glucose (mmol/L) Plug in the original

Univariate analysis of falls in patients with hemodialysis in the modeling group_

Variable Fall group, cases (%) Non-fall group, cases (%) Z2 value P value
Age, (years, M [P25, P75]) 72 (67.25, 76.75) 59 (49.00, 69.00) –5.077 0
Dialysis period (months, M [P25, P75]) 72 (34.25, 135.00) 62 (30.00, 135.00) –0.734 0.463
Gender 0.184 0.668
  Male 17 (53.1) 157 (57.1)
  Female 15 (46.9) 118 (42.9)
Cardiovascular disease 0.139 0.710
  Yes 31 (96.9) 257 (93.5)
  No 1 (3.1) 18 (6.5)
Hearing or vision loss 9.525 0.002
  Yes 8 (25.0) 148 (53.8)
  No 24 (75.0) 127 (46.2)
Use of assistive devices 38.603 0
  Yes 14 (43.8) 18 (6.5)
  No 18 (56.3) 257 (93.5)
A history of falls in the past year 36.544 0
  Yes 16 (50.0) 26 (9.5)
  No 16 (50.0) 249 (90.5)
Frailty 30.790 0
  Yes 22 (68.8) 62 (22.5)
  No 10 (31.3) 213 (77.5)
Dialysis-related hypotension 39.347 0
  Yes 19 (59.4) 38 (13.8)
  No 13 (40.6) 237 (86.2)
TUG test, seconds (s) 39.157 0
  <13.5 11 (34.4) 228 (82.9)
  ≥13.5 21 (65.6) 47 (60.9)
Grip strength test (KG, M [P25, P75]) 22.15 (13.95, 27.50) 23.90 (18.30, 27.80) –1.498 0.134
Hemoglobin (g/L, M [P25, P75]) 109.0 (99.00, 122.00) 112.5 (106.00, 126.00) –1.010 0.312
Serum albumin (g/L, M [P25, P75]) 32.75 (29.68, 36.40) 40.10 (38.40, 42.00) –6.719 0
Serum phosphorus (mmol/L, M [P25, P75]) 1.71 (1.49, 1.93) 1.88 (1.46, 2.25) –1.420 0.155
Serum calcium (mmol/L, M [P25, P75]) 2.36 (2.13, 2.52) 2.27 (2.13, 2.47) –0.367 0.713
Fasting blood glucose (mmol/L, M [P25, P75]) 9.1 (5.07, 12.88) 5.68 (4.82, 7.52) –3.788 0

Logistic regression analysis of fall-related factors in patients with hemodialysis_

Variable B value Standard error Wald value P value OR value 95% CI
A history of falls in the past year 1.374 0.642 4.575 0.032 3.951 1.122–13.913
Dialysis-related hypotension 1.939 0.686 7.981 0.005 6.949 1.811–26.672
TUG test 1.533 0.684 5.027 0.025 4.630 1.213–17.678
Serum albumin −0.414 0.085 23.978 0.000 0.661 0.560–0.780
Frailty 2.050 0.655 9.801 0.002 7.770 2.153–28.046
Fasting blood glucose 0.131 0.057 5.341 0.021 1.141 1.020–1.275
Constant 9.588 3.054 9.858 0.002
Idioma:
Inglés
Calendario de la edición:
4 veces al año
Temas de la revista:
Medicina, Profesiones auxiliares, enfermería