» Articles » PMID: 38089115

Risk Prediction Models for Invasive Mechanical Ventilation in Patients with Autoimmune Encephalitis: A Retrospective Cohort Study

Overview
Journal J Immunol Res
Publisher Wiley
Date 2023 Dec 13
PMID 38089115
Authors
Affiliations
Soon will be listed here.
Abstract

Methods: A multivariate predictive nomogram model was developed using the risk factors identified by LASSO regression and assessed by receiver operator characteristics (ROC) curve, calibration curve, and decision curve analysis.

Results: The risk factors predictive of severe respiratory failure were male gender, impaired hepatic function, elevated intracranial pressure, and higher neuron-specific enolase. The final nomogram achieved an AUC of 0.770. After validation by bootstrapping, a concordance index of 0.748 was achieved.

Conclusions: Our nomogram accurately predicted the risk of developing respiratory failure needing IMV in AE patients and provide clinicians with a simple and effective tool to guide treatment interventions in the AE patients.

References
1.
Carroll C, Spinella P, Corsi J, Stoltz P, Zucker A . Emergent endotracheal intubations in children: be careful if it's late when you intubate. Pediatr Crit Care Med. 2010; 11(3):343-8. View

2.
Rezaei F, Abbasi H, Sadeghi M, Imani M . The effect of obstructive sleep apnea syndrome on serum S100B and NSE levels: a systematic review and meta-analysis of observational studies. BMC Pulm Med. 2020; 20(1):31. PMC: 7003338. DOI: 10.1186/s12890-020-1063-8. View

3.
Chi X, Wang W, Huang C, Wu M, Zhang L, Li J . Risk factors for mortality in patients with anti-NMDA receptor encephalitis. Acta Neurol Scand. 2016; 136(4):298-304. DOI: 10.1111/ane.12723. View

4.
Biolato M, Bianco A, Lucchini M, Gasbarrini A, Mirabella M, Grieco A . The Disease-Modifying Therapies of Relapsing-Remitting Multiple Sclerosis and Liver Injury: A Narrative Review. CNS Drugs. 2021; 35(8):861-880. PMC: 8354931. DOI: 10.1007/s40263-021-00842-9. View

5.
Broadley J, Wesselingh R, Seneviratne U, Kyndt C, Beech P, Buzzard K . Prognostic value of acute cerebrospinal fluid abnormalities in antibody-positive autoimmune encephalitis. J Neuroimmunol. 2021; 353:577508. DOI: 10.1016/j.jneuroim.2021.577508. View