Development and validation of a nomogram for predicting ADL outcomes in patients undergoing subacute stroke rehabilitation based on machine learning and standard bedside clinical data: a retrospective cohort study - Summary - MDSpire

Development and validation of a nomogram for predicting ADL outcomes in patients undergoing subacute stroke rehabilitation based on machine learning and standard bedside clinical data: a retrospective cohort study

  • By

  • Xinye Chen

  • Juming Liu

  • Jiawei Qin

  • Xi Qin

  • Changyu Ju

  • Suchen Zhao

  • Qianqian Sun

  • June 19, 2026

  • 0 min

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Objective:

To develop and validate a predictive model utilizing machine learning for assessing patients’ activities of daily living (ADL) recovery at 3 months post-stroke rehabilitation.

Approach:
    Key Findings:
    • The final prediction model (ADL-3 M) includes the Braden score, baseline BI score, and age.
    • The AUC for ADL-3 M was 0.832 (95% CI: 0.779–0.885) in the training cohort and 0.866 (95% CI: 0.806–0.926) in the validation cohort.
    • SHAP analysis indicated the Braden score as the most significant predictor for the 3-month outcome.
    Interpretation:

    The nomogram predicts ADL recovery in subacute stroke patients at 3 months post-rehabilitation using routine clinical data.

    Limitations:
    • The study is retrospective and may be subject to biases inherent in such designs.
    • The model's applicability may be limited to similar clinical settings.
    Conclusion:

    The nomogram provides a tool for predicting ADL recovery.

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