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Development and validation of a nomogram for predicting the disease progression of nonsevere coronavirus disease 2019

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单位: [1]China Med Univ, Sch Publ Hlth, Dept Epidemiol, Shenyang, Liaoning, Peoples R China [2]China Med Univ, Dept Pulm & Crit Care Med, Shengjing Hosp, Shenyang, Liaoning, Peoples R China [3]Huazhong Univ Sci & Technol, Natl Clin Res Ctr Resp Dis, Dept Resp & Crit Care Med, Tongji Med Coll,Tongji Hosp, Wuhan, Hubei, Peoples R China [4]Zhejiang Univ, Affiliated Hosp 2, Dept Resp Dis, Coll Med, Hangzhou, Zhejiang, Peoples R China [5]Cent South Univ, Xiangya Hosp 2, Dept Pulm & Crit Care Med, Changsha, Hunan, Peoples R China [6]China Med Univ, Dept Emergency Med, Shengjing Hosp, Shenyang, Liaoning, Peoples R China [7]China Med Univ, Dept Pulm & Crit Care Med, Hosp 1, Shenyang, Liaoning, Peoples R China [8]Huazhong Univ Sci & Technol, Union Hosp, Dept Resp & Crit Care Med, Tongji Med Coll, Wuhan, Hubei, Peoples R China [9]Baotou Med Coll, Dept Resp Dis, Affiliated Hosp 2, Baotou, Peoples R China [10]China Japan Friendship Hosp, Ctr Resp Med, Dept Pulm & Crit Care Med, Beijing, Peoples R China [11]Natl Ctr Resp Med, Beijing, Peoples R China [12]Chinese Acad Med Sci, Inst Resp Med, Beijing, Peoples R China [13]Natl Clin Res Ctr Resp Dis, Beijing, Peoples R China [14]Chinese Acad Med Sci, Grad Sch, Peking Union Med Coll, Beijing, Peoples R China
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关键词: coronavirus disease 2019 nomogram risk factors worsening progression prediction

摘要:
Background and Objectives: The majority of coronavirus disease 2019 (COVID-19) cases are nonsevere, but severe cases have high mortality and need early detection and treatment. We aimed to develop a nomogram to predict the disease progression of nonsevere COVID-19 based on simple data that can be easily obtained even in primary medical institutions. Methods: In this retrospective, multicenter cohort study, we extracted data from initial simple medical evaluations of 495 COVID-19 patients randomized (2:1) into a development cohort and a validation cohort. The progression of nonsevere COVID-19 was recorded as the primary outcome. We built a nomogram with the development cohort and tested its performance in the validation cohort. Results: The nomogram was developed with the nine factors included in the final model. The area under the curve (AUC) of the nomogram scoring system for predicting the progression of nonsevere COVID-19 into severe COVID-19 was 0.875 and 0.821 in the development cohort and validation cohort, respectively. The nomogram achieved a good concordance index for predicting the progression of nonsevere COVID-19 cases in the development and validation cohorts (concordance index of 0.875 in the development cohort and 0.821 in the validation cohort) and had well-fitted calibration curves showing good agreement between the estimates and the actual endpoint events. Conclusions: The proposed nomogram built with a simplified index might help to predict the progression of nonsevere COVID-19; thus, COVID-19 with a high risk of disease progression could be identified in time, allowing an appropriate therapeutic choice according to the potential disease severity.

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出版当年[2020]版:
大类 | 4 区 医学
小类 | 4 区 医学:内科
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 医学:内科
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最新[2023]版:
Q1 MEDICINE, GENERAL & INTERNAL

影响因子: 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

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第一作者单位: [1]China Med Univ, Sch Publ Hlth, Dept Epidemiol, Shenyang, Liaoning, Peoples R China
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通讯机构: [9]Baotou Med Coll, Dept Resp Dis, Affiliated Hosp 2, Baotou, Peoples R China [10]China Japan Friendship Hosp, Ctr Resp Med, Dept Pulm & Crit Care Med, Beijing, Peoples R China [11]Natl Ctr Resp Med, Beijing, Peoples R China [12]Chinese Acad Med Sci, Inst Resp Med, Beijing, Peoples R China [13]Natl Clin Res Ctr Resp Dis, Beijing, Peoples R China [14]Chinese Acad Med Sci, Grad Sch, Peking Union Med Coll, Beijing, Peoples R China [*1]China Med Univ, Dept Pulm & Crit Care Med, China Japan Friendship Hosp, Affiliated Hosp 1,Ctr Resp Med, Beijing, Peoples R China [*2]Chinese Acad Med Sci, Beijing, Peoples R China
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