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To explore and compare the application value of post-stroke fatigue (PSF) risk prediction nomogram and Web calculator program in post-stroke fatigue risk prediction in convalescent stroke patients.
The patients with acute stroke admitted to the Department of Encephalopathy of a tertiary hospital from February 2023 to August 2023 were prospectively selected, and the nomogram and Web calculator program were used to predict the risk probability of PSF in convalescent stage. The area under the receiver operating characteristic curve (AUC), Hosmer-Lemeshow goodness-of-fit test, and clinical decision curve were used to evaluate the discrimination, calibration, and clinical utility of the two models, respectively.
A total of 282 patients were included, of which 128 had PSF, and the incidence of PSF was 46.89%. The AUC of the nomogram and Web calculator were 0.687 (95%CI:0.624-0.749) and 0.743 (95%CI: 0.683-0.803), respectively. The Hosmer-Lemeshow goodness-of-fit test showed that the nomogram (χ2=8.357, P=0.213) and Web calculator program (χ2=4.467, P=0.614) were well fitted in stroke patients. The clinical decision curve analysis showed that the nomogram and Web calculator program had clinical benefits in the range of threshold probability of 0.35-0.81 and 0.33-0.88, respectively.
The nomogram and Web calculator program can effectively predict the PSF risk of stroke convalescent patients, and the Web calculator program is superior to the nomogram. However, the future Web calculator program model still needs to be further updated to balance simplicity and accuracy, thereby improving its clinical applicability.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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