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Construction and verification of a model for predicting fall risk in patients with maintenance hemodialysis† Cover

Construction and verification of a model for predicting fall risk in patients with maintenance hemodialysis†

Open Access
|Dec 2024

Figures & Tables

Figure 1.

ROC curve of the model predicting falls in patients with hemodialysis. ROC, receiver operating characteristic.
ROC curve of the model predicting falls in patients with hemodialysis. ROC, receiver operating characteristic.

Assignment table of independent variables_

VariableAssignment mode
Age (years)Plug in the original
Hearing or vision lossNo = 0, yes = 1
Use of assistive devicesNo = 0, yes = 1
A history of falls in the past yearNo = 0, yes = 1
FrailtyNo = 0, yes = 1
Dialysis-related hypotensionNo = 0, yes = 1
TUG test<13.5 s = 0, ≥13.5 s = 1
Serum albumin (g/L)Plug in the original
Fasting blood glucose (mmol/L)Plug in the original

Univariate analysis of falls in patients with hemodialysis in the modeling group_

VariableFall group, cases (%)Non-fall group, cases (%)Z2 valueP value
Age, (years, M [P25, P75])72 (67.25, 76.75)59 (49.00, 69.00)–5.0770
Dialysis period (months, M [P25, P75])72 (34.25, 135.00)62 (30.00, 135.00)–0.7340.463
Gender 0.1840.668
  Male17 (53.1)157 (57.1)
  Female15 (46.9)118 (42.9)
Cardiovascular disease 0.1390.710
  Yes31 (96.9)257 (93.5)
  No1 (3.1)18 (6.5)
Hearing or vision loss 9.5250.002
  Yes8 (25.0)148 (53.8)
  No24 (75.0)127 (46.2)
Use of assistive devices 38.6030
  Yes14 (43.8)18 (6.5)
  No18 (56.3)257 (93.5)
A history of falls in the past year 36.5440
  Yes16 (50.0)26 (9.5)
  No16 (50.0)249 (90.5)
Frailty 30.7900
  Yes22 (68.8)62 (22.5)
  No10 (31.3)213 (77.5)
Dialysis-related hypotension 39.3470
  Yes19 (59.4)38 (13.8)
  No13 (40.6)237 (86.2)
TUG test, seconds (s) 39.1570
  <13.511 (34.4)228 (82.9)
  ≥13.521 (65.6)47 (60.9)
Grip strength test (KG, M [P25, P75])22.15 (13.95, 27.50)23.90 (18.30, 27.80)–1.4980.134
Hemoglobin (g/L, M [P25, P75])109.0 (99.00, 122.00)112.5 (106.00, 126.00)–1.0100.312
Serum albumin (g/L, M [P25, P75])32.75 (29.68, 36.40)40.10 (38.40, 42.00)–6.7190
Serum phosphorus (mmol/L, M [P25, P75])1.71 (1.49, 1.93)1.88 (1.46, 2.25)–1.4200.155
Serum calcium (mmol/L, M [P25, P75])2.36 (2.13, 2.52)2.27 (2.13, 2.47)–0.3670.713
Fasting blood glucose (mmol/L, M [P25, P75])9.1 (5.07, 12.88)5.68 (4.82, 7.52)–3.7880

Logistic regression analysis of fall-related factors in patients with hemodialysis_

VariableB valueStandard errorWald valueP valueOR value95% CI
A history of falls in the past year1.3740.6424.5750.0323.9511.122–13.913
Dialysis-related hypotension1.9390.6867.9810.0056.9491.811–26.672
TUG test1.5330.6845.0270.0254.6301.213–17.678
Serum albumin−0.4140.08523.9780.0000.6610.560–0.780
Frailty2.0500.6559.8010.0027.7702.153–28.046
Fasting blood glucose0.1310.0575.3410.0211.1411.020–1.275
Constant9.5883.0549.8580.002
DOI: https://doi.org/10.2478/fon-2024-0043 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
Language: English
Page range: 387 - 394
Submitted on: Oct 9, 2023
Accepted on: Aug 4, 2024
Published on: Dec 16, 2024
Published by: Shanxi Medical Periodical Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 times per year

© 2024 Yue Liu, Yan-Li Zeng, Shan Zhang, Li Meng, Xiao-Hua He, Qing Tang, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution 4.0 License.