Development and validation of a nomogram model for accurately predicting severe fatigue in maintenance hemodialysis patients: A multicenter cross‐sectional study in China

Author:

Zhou Xinyuan12,Han Jiahui12,Zhu Fuxiang3ORCID

Affiliation:

1. Jiaxing University Master Degree Cultivation Base Zhejiang Chinese Medical University Jiaxing Zhejiang China

2. Department of Nephrology The First Hospital of Jiaxing Affiliated Hospital of Jiaxing University Jiaxing Zhejiang China

3. Jiaxing Hospital of Traditional Chinese Medicine Jiaxing Zhejiang China

Abstract

AbstractIntroductionThis study aims to analyze the risk factors for severe fatigue in maintenance hemodialysis (MHD) patients and develop a clinical prediction model to help doctors and patients prevent severe fatigue.MethodsMulticentre MHD patients were included in this study. The objective was to investigate the risk factors for severe fatigue in MHD patients and develop a prediction model.ResultsA total of 243 MHD patients were included in the study, and the incidence of severe fatigue was found to be 20.99%. Using age, body mass index, total cholesterol, and albumin levels, a predictive nomogram for fatigue was constructed. In the training set, the nomogram had an area under the curve of 0.851, sensitivity of 82.86%, specificity of 81.76%, and c‐index of 0.851. The nomogram was accurate in calibration and proved to be clinically useful.ConclusionThe nomogram developed in this study is a practical and reliable tool for quickly identifying severe fatigue in MHD patients.

Publisher

Wiley

Reference24 articles.

1. Fatigue in Patients Receiving Maintenance Dialysis: A Review of Definitions, Measures, and Contributing Factors

2. Symptom occurrence degree and its influence factors among maintenance hemodialysis patient;Chen H;J Pract Med,2017

3. The effect of acupressure on the level of fatigue in hemodialysis patients;Eğlence R;Altern Ther Health Med,2013

4. Nomograms as predictive models

5. Clinical prediction models

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