Construction of a nomogram model to predict arteriosclerosis in middle-aged and elderly community dwellers: insights from a cohort study - Scorecard - MDSpire
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Construction of a nomogram model to predict arteriosclerosis in middle-aged and elderly community dwellers: insights from a cohort study
Clinical Scorecard: Development of a nomogram for predicting arteriosclerosis in middle-aged and older adults in community settings: findings from a cohort analysis
At a Glance
Category
Detail
Condition
Arteriosclerosis
Key Mechanisms
Involves elastin fiber fragmentation, collagen deposition, and arterial wall calcification, leading to reduced vascular tone and compliance.
Target Population
Middle-aged and elderly individuals over 40 years of age.
Care Setting
Community healthcare settings.
Key Highlights
41.0% of participants diagnosed with arteriosclerosis over an average follow-up of 3.25 years.
Independent risk factors include age, BMI, hypertension, triglyceride levels, glycosylated hemoglobin, sex, and fasting blood glucose.
The predictive model demonstrated good accuracy with AUC values of 0.811 and 0.816 for derivation and validation cohorts, respectively.
Calibration curves showed high consistency between predicted and observed results.
Decision curve analysis indicated favorable net benefits of the prediction model.
Guideline-Based Recommendations
Diagnosis
Use baPWV ≥ 1400 cm/s to define incident arteriosclerosis.
Management
Identify and monitor independent risk factors for arteriosclerosis.
Monitoring & Follow-up
Regular assessment of baPWV and associated risk factors in at-risk populations.
Risks
Increased risk of cardiovascular diseases and all-cause mortality associated with arteriosclerosis.
Patient & Prescribing Data
Individuals aged 40 and older in community settings.
Early identification and intervention may improve patient prognosis.
Clinical Best Practices
Utilize a nomogram for individualized prediction of arteriosclerosis risk.
Incorporate lifestyle modifications and management of risk factors in patient care.