Evidence mapPaperPMID 41299849Full record

ArticleCNS neuroscience & therapeutics2025

Development and Validation of a Model to Predict Secondary Arrhythmia in Patients With Epilepsy.

Yulong Li, Zhen Sun, Shen Su, Jun Zhao, Yanping Sun

Abstract readValidation Study
In one paragraph

Article in CNS neuroscience & therapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

5 authors.

Yulong LiDepartment of Neurology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Zhen SunDepartment of Neurology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Shen SuDepartment of Gastroenterology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Jun ZhaoDepartment of Neurology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Yanping SunDepartment of Neurology, The Affiliated Hospital of Qingdao University, Qingdao, China.ORCID 0009-0007-0911-6957

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCompared with healthy individuals, epilepsy patients are more prone to arrhythmias, which may contribute to poor prognosis. To enable early identification of this risk, we developed a clinical prognostic prediction model to assess the risk of arrhythmia comorbidity in epilepsy patients, thereby facilitating timely clinical intervention to improve patient outcomes.

methodsWe retrospectively collected clinical data from epilepsy patients treated at the Affiliated Hospital of Qingdao University between January 2022 and February 2025, including gender, age, medical history, antiseizure medications, electrocardiograms and electroencephalograms. A total of 495 eligible patients were enrolled and randomly divided into development and validation datasets at a 7:3 ratio. Variable selection was performed using LASSO regression with a penalty term, and the selected variables were incorporated into the construction of a logistic regression model. The area under the receiver operating characteristic curve (AUC) and its 95% confidence interval were used to preliminarily evaluate the model's discriminative ability, while cross-validation and bootstrapping were employed to assess its generalizability. Calibration curves and the Brier score were utilized to evaluate the model's calibration, and decision curve analysis was plotted to analyze the net clinical benefit.

resultThe C-indices for the development and validation datasets were 0.737 (95% CI 0.675-0.799) and 0.790 (95% CI: 0.707-0.884), respectively, with an overall C-index of 0.752 (95% CI: 0.701-0.804). The corresponding sensitivity and specificity were 74.6% and 68.1%, respectively. Finally, a nomogram was constructed for the visual presentation of the predictive model.

conclusionOur predictive model can accurately assess the risk of arrhythmia comorbidity in epilepsy patients, assisting clinicians in early intervention to improve prognosis.

Indexed as

Arrhythmias, CardiacEpilepsyAdolescentAdultElectroencephalographyFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesYoung Adultarrhythmiasepilepsyprediction model

Identifiers

PMID41299849
PMCPMC12657259

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.