Evidence map›Paper›PMID 41625531›Full record

ArticleFrontiers in surgery2025

Development and validation of a frailty risk prediction model in patients with peripheral artery disease.

Qingmei Fang, Fengwang Xue, Xueshuang Chen, Xia Qing, Feng Liu, Shengmin Guo

Abstract read
In one paragraph

Article in Frontiers in surgery, 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

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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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

6 authors.

Qingmei FangDepartment of Vascular Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou, China.
Fengwang XueSchool of Nursing, Southwest Medical University, Luzhou, China.
Xueshuang ChenSchool of Nursing, Southwest Medical University, Luzhou, China.
Xia QingSchool of Nursing, Southwest Medical University, Luzhou, China.
Feng LiuDepartment of Vascular Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou, China.
Shengmin GuoDepartment of Nursing, The Affiliated Hospital of Southwest Medical University, Luzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate the current status and risk factors of frailty among patients with peripheral artery disease, and to develop a risk prediction model to inform targeted clinical interventions. Methods: Patients were consecutively recruited for this investigation from August 2024 to May 2025. The study included 499 individuals with peripheral artery disease who were hospitalized in the vascular surgery department of a tertiary hospital in Southwest China. Data were collected using a general information questionnaire, laboratory test results, the Barthel Index, and the Social Support Rating Scale. The Tilburg Frailty Indicator was used to classify patients into a non-frailty group and a frailty group. The dataset was randomly split in a 7:3 ratio into a training set and a validation set. Independent predictors of frailty were identified through univariate and multivariate logistic regression analyses. The risk prediction model was developed using R software. Discrimination of the model was evaluated by plotting receiver operating characteristic (ROC) curves and calculating the area under the curve (AUC), sensitivity, and specificity in both the training and validation sets. Model calibration was assessed using the Hosmer-Lemeshow goodness-of-fit test and calibration curves. Clinical utility was evaluated using decision curve analysis. Results: Age, hemoglobin level, number of comorbidities, and activities of daily living were identified as independent risk factors for frailty. In the training set, the AUC was 0.771 (95% CI: 0.721-0.821), with a sensitivity of 0.788 and a specificity of 0.808. In the validation set, the AUC was 0.704 (95% CI: 0.620-0.788), with a sensitivity of 0.743 and a specificity of 0.682. The Hosmer-Lemeshow test indicated good calibration in both the training set ( Conclusion: The developed risk prediction model exhibited predictive performance and can assist clinical healthcare providers in identifying populations at high risk of frailty among patients with PAD, thereby providing a reference for developing intervention strategies targeting relevant risk factors.

Indexed as

frailtynomogramolder adultsperipheral artery diseasepredictive model

Identifiers

PMID41625531
PMCPMC12857310

What Socratic holds

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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 Socratic graph.