Construction of a frailty prediction model for AECOPD patients
ZHANG Juan
JIANG Xiaoli
WEI Bixin
WANG Guizhen
WANG Yali
SHAO Ying
Abstract：Objective:To explore the status quo and influencing factors of frailty in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD)and construct a frailty risk nomogram model.Methods:The convenience sampling method was used to select the clinical data of 320 AECOPD patients treated in our hospital from January 2021 to December 2022.The status quo and influencing factors of frailty were analyzed,a frailty risk prediction model was built using logistic regression,and display the model using a nomogram.Results:Among 320 AECOPD patients,the incidence of frailty was 28.75％.The univariate analysis results showed that age,sleep status,nutritional status,number of chronic diseases,body mass index(BMI),physical exercise,and polypharmacy were independent risk factors for frailty in AECOPD patients(P＜0.05).The results of the cross-analysis chi-square test showed that the relationships between the PSQI score and physical exercise,the NRS 2002 score and BMI,and the number of chronic diseases and polypharmacy were significant at the 5％level(P＜0.05).There was no cross-relationship between the other influencing factors,which were relatively independent.Logistic regression analysis showed that frailty was more likely to occur in AECOPD patients with advanced age,poor sleep status,malnutrition,a large number of chronic diseases,low BMI,no physical exercise,and multiple medications.Conclusions:The frailty status of AECOPD patients is at a moderate level.Frailty was more likely to occur in AECOPD patients who are elderly,have poor sleep status,are malnourished,have a large number of chronic diseases,have a low BMI,have no physical exercise,and take multiple medications.The frailty risk prediction model for AECOPD patients constructed in this study is simple and easy to implement,which could guide identifying high-risk patients and timely intervention strategies.
Keywords：(acute exacerbation of chronic obstructive pulmonary diseaseAECOPD)patientsfrailtynomogram modelnursing
Publication Date：2024-06-15
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 1992-1996 )