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Development of Prognostic Prediction Model to Estimate Mortality for Frail Oldest Old: Prospective Cohort Study
BACKGROUND: This study was performed to derive and validate a prognostic prediction model for individualized estimation of mortality risk among the frail oldest old (aged 80 years or older). METHODS: This analysis was based on the prospective open cohort study from the Chinese Longevity and Health L...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10061936/ https://www.ncbi.nlm.nih.gov/pubmed/36574506 http://dx.doi.org/10.1093/gerona/glac256 |
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author | Gu, Yaohua Wu, Wenwen Kong, Chan Luo, Qiaoqian Ran, Li Tan, Xiaodong Zhang, Qing |
author_facet | Gu, Yaohua Wu, Wenwen Kong, Chan Luo, Qiaoqian Ran, Li Tan, Xiaodong Zhang, Qing |
author_sort | Gu, Yaohua |
collection | PubMed |
description | BACKGROUND: This study was performed to derive and validate a prognostic prediction model for individualized estimation of mortality risk among the frail oldest old (aged 80 years or older). METHODS: This analysis was based on the prospective open cohort study from the Chinese Longevity and Health Longitudinal Survey. A total of 14 118 frail oldest old were included from the 2002 wave to 2014 waves; the study outcome was all-cause mortality. Available predictors included frailty, demographics, and social factors. Cox models were used to estimate the coefficients of the predictors and least absolute shrinkage and selection operator was used for selecting predictors. Model performance was measured by discrimination and calibration with internal validation by bootstrapping. We also developed a nomogram to visualize and predict the 3-year mortality risk based on the obtained prognostic prediction model. RESULTS: During the 16-years follow-up, 10 410 (76.42%) deaths were identified. The final model comprises the following factors: frailty, age, sex, race, birthplace, education, occupation, marital status, residence, economic condition, number of children, and the question “who do you ask for help first when in trouble.” The model has valid predictive ability as measured and validated by Harrell’s C statistic (0.602) and calibration plots. CONCLUSIONS: This study provides a basic prognostic prediction model to quantify absolute mortality risk for the frail oldest old. Future studies are needed, firstly, to update, adjust, and perform external validation of the present model by using phenotypic frailty, and secondly, to add biomarkers, environmental, and psychological factors to the prediction model. |
format | Online Article Text |
id | pubmed-10061936 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-100619362023-03-31 Development of Prognostic Prediction Model to Estimate Mortality for Frail Oldest Old: Prospective Cohort Study Gu, Yaohua Wu, Wenwen Kong, Chan Luo, Qiaoqian Ran, Li Tan, Xiaodong Zhang, Qing J Gerontol A Biol Sci Med Sci THE JOURNAL OF GERONTOLOGY: Medical Sciences BACKGROUND: This study was performed to derive and validate a prognostic prediction model for individualized estimation of mortality risk among the frail oldest old (aged 80 years or older). METHODS: This analysis was based on the prospective open cohort study from the Chinese Longevity and Health Longitudinal Survey. A total of 14 118 frail oldest old were included from the 2002 wave to 2014 waves; the study outcome was all-cause mortality. Available predictors included frailty, demographics, and social factors. Cox models were used to estimate the coefficients of the predictors and least absolute shrinkage and selection operator was used for selecting predictors. Model performance was measured by discrimination and calibration with internal validation by bootstrapping. We also developed a nomogram to visualize and predict the 3-year mortality risk based on the obtained prognostic prediction model. RESULTS: During the 16-years follow-up, 10 410 (76.42%) deaths were identified. The final model comprises the following factors: frailty, age, sex, race, birthplace, education, occupation, marital status, residence, economic condition, number of children, and the question “who do you ask for help first when in trouble.” The model has valid predictive ability as measured and validated by Harrell’s C statistic (0.602) and calibration plots. CONCLUSIONS: This study provides a basic prognostic prediction model to quantify absolute mortality risk for the frail oldest old. Future studies are needed, firstly, to update, adjust, and perform external validation of the present model by using phenotypic frailty, and secondly, to add biomarkers, environmental, and psychological factors to the prediction model. Oxford University Press 2022-12-27 /pmc/articles/PMC10061936/ /pubmed/36574506 http://dx.doi.org/10.1093/gerona/glac256 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of The Gerontological Society of America. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | THE JOURNAL OF GERONTOLOGY: Medical Sciences Gu, Yaohua Wu, Wenwen Kong, Chan Luo, Qiaoqian Ran, Li Tan, Xiaodong Zhang, Qing Development of Prognostic Prediction Model to Estimate Mortality for Frail Oldest Old: Prospective Cohort Study |
title | Development of Prognostic Prediction Model to Estimate Mortality for Frail Oldest Old: Prospective Cohort Study |
title_full | Development of Prognostic Prediction Model to Estimate Mortality for Frail Oldest Old: Prospective Cohort Study |
title_fullStr | Development of Prognostic Prediction Model to Estimate Mortality for Frail Oldest Old: Prospective Cohort Study |
title_full_unstemmed | Development of Prognostic Prediction Model to Estimate Mortality for Frail Oldest Old: Prospective Cohort Study |
title_short | Development of Prognostic Prediction Model to Estimate Mortality for Frail Oldest Old: Prospective Cohort Study |
title_sort | development of prognostic prediction model to estimate mortality for frail oldest old: prospective cohort study |
topic | THE JOURNAL OF GERONTOLOGY: Medical Sciences |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10061936/ https://www.ncbi.nlm.nih.gov/pubmed/36574506 http://dx.doi.org/10.1093/gerona/glac256 |
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