Research Article

Construction of a Prediction Model for the Mortality of Elderly Patients with Diabetic Nephropathy

Table 1

Comparisons of the characteristics of surviving and dead patients.

VariablesTotal (n = 511)Group
Survival group (n = 295)Death group (n = 216)StatisticsP

Gender, n (%)χ 2 = 3.0000.083
 Male292 (57.14)159 (53.90)133 (61.57)
 Female219 (42.86)136 (46.10)83 (38.43)

Marital status, n (%)χ 2 = 9.4720.092
 Divorced34 (6.65)22 (7.46)12 (5.56)
 Married247 (48.34)143 (48.47)104 (48.15)
 Separated3 (0.59)0 (0.00)3 (1.39)
 Single85 (16.63)53 (17.97)32 (14.81)
 Unknown14 (2.74)5 (1.69)9 (4.17)
 Widowed128 (25.05)72 (24.41)56 (25.93)

Ethnicity, n (%)χ 2 = 9.8610.079
 Asian18 (3.52)7 (2.37)11 (5.09)
 Black93 (18.20)63 (21.36)30 (13.89)
 Hispanic or Latino12 (2.35)7 (2.37)5 (2.31)
 Others11 (2.15)8 (2.71)3 (1.39)
 Unknown43 (8.41)20 (6.78)23 (10.65)
 White334 (65.36)190 (64.41)144 (66.67)

LOS, M (Q1, Q3)2.60 (1.37, 4.79)2.15 (1.24, 3.84)3.24 (1.64, 6.93)Z = 4.748<0.001
Age, M (Q1, Q3)74.39 (69.69, 80.12)73.90 (69.53, 80.02)75.14 (70.13, 80.31)Z = 1.3430.179
Respiratory rate, mean ± SD19.08 ± 5.7618.66 ± 5.3619.66 ± 6.23t = −1.900.058
Temperature, mean ± SD36.46 ± 0.9536.54 ± 0.9136.36 ± 1.00t = 2.100.036
Heart rate, mean ± SD82.59 ± 17.9980.94 ± 17.6484.84 ± 18.25t = −2.430.015
SBP, mean ± SD126.43 ± 28.02127.96 ± 28.29124.35 ± 27.58t = 1.440.150
DBP, mean ± SD58.35 ± 16.2558.07 ± 15.7458.73 ± 16.96t = −0.450.650
MAP, mean ± SD78.60 ± 18.9078.16 ± 17.5579.20 ± 20.63t = −0.600.551
SpO2, mean ± SD96.98 ± 4.7396.90 ± 5.1497.10 ± 4.10t = −0.500.620
WBC, M (Q1, Q3)9.70 (7.30, 12.70)9.60 (7.20, 12.70)9.70 (7.40, 12.65)Z = 0.4880.626
RBC, mean ± SD3.65 ± 0.713.69 ± 0.753.60 ± 0.65t = 1.370.171
Sodium, mean ± SD137.70 ± 4.71137.60 ± 4.75137.83 ± 4.66t = −0.540.586
Potassium, mean ± SD4.64 ± 0.974.67 ± 1.004.60 ± 0.93t = 0.800.426
Phosphate, M (Q1,Q3)4.00 (3.30, 4.90)3.90 (3.20, 4.70)4.10 (3.30, 5.10)Z = 1.9180.055
Calcium, mean ± SD8.69 ± 0.958.78 ± 0.958.57 ± 0.93t = 2.450.014
PLT, M (Q1, Q3)216.00 (169.00, 288.00)218.00 (173.00, 277.00)208.50 (166.50, 295.00)Z = −0.6090.542
Lactate, M (Q1, Q3)1.60 (1.22, 2.20)1.60 (1.20, 2.20)1.70 (1.30, 2.38)Z = 1.7500.080
INR, M (Q1,Q3)1.20 (1.10,1.50)1.20 (1.10,1.40)1.30 (1.10,1.50)Z = 2.9040.004
MCV, mean ± SD90.89 ± 7.5690.67 ± 7.7291.20 ± 7.34t = −0.780.436
Magnesium, mean ± SD2.05 ± 0.452.05 ± 0.442.05 ± 0.46t = 0.010.989
Glucose, M (Q1, Q3)166.00 (125.00, 242.00)176.00 (130.00, 249.00)158.50 (119.50, 229.00)Z = −1.9830.047
Creatinine, M (Q1, Q3)2.70 (1.70, 4.30)2.40 (1.60, 4.10)2.90 (1.90, 4.45)Z = 2.5710.010
BUN, M (Q1, Q3)45.00 (31.00, 68.00)44.00 (30.00, 65.00)48.00 (32.00, 71.00)Z = 2.0220.043
Bicarbonate, mean ± SD24.37 ± 5.3924.06 ± 4.9924.79 ± 5.88t = −1.470.142
Hematocrit, mean ± SD32.91 ± 6.0233.11 ± 6.4232.64 ± 5.43t = 0.890.374
Hemoglobin, mean ± SD10.81 ± 1.9510.95 ± 2.0710.62 ± 1.77t = 1.970.049
MCHC, mean ± SD32.85 ± 1.6033.06 ± 1.5632.56 ± 1.61t = 3.55<0.001
RDW, mean ± SD15.81 ± 1.8915.38 ± 1.7216.39 ± 1.95t = −6.22<0.001
COPD, n (%)χ 2 = 0.5260.468
 No419 (82.00)245 (83.05)174 (80.56)
 Yes92 (18.00)50 (16.95)42 (19.44)

AF, n (%)χ 2 = 1.5460.214
 No286 (55.97)172 (58.31)114 (52.78)
 Yes225 (44.03)123 (41.69)102 (47.22)

Liver cirrhosis, n (%)χ 2 = 0.0970.755
 No488 (95.50)281 (95.25)207 (95.83)
 Yes23 (4.50)14 (4.75)9 (4.17)

Respiratory failure, n (%)χ 2 = 13.735<0.001
 No355 (69.47)224 (75.93)131 (60.65)
 Yes156 (30.53)71 (24.07)85 (39.35)

Hyperlipidemia, n (%)χ 2 = 27.292<0.001
 No267 (52.25)125 (42.37)142 (65.74)
 Yes244 (47.75)170 (57.63)74 (34.26)

Malignant cancer, n (%)χ 2 = 0.0700.792
 No405 (79.26)235 (79.66)170 (78.70)
 Yes106 (20.74)60 (20.34)46 (21.30)

SAPS-II score, mean ± SD42.79 ± 11.7840.74 ± 11.1845.60 ± 12.02t = −4.70<0.001
SOFA score, M (Q1, Q3)6.00 (4.00, 8.00)5.00 (3.00, 7.00)6.00 (4.00, 8.00)Z = 4.448<0.001
Insulin, n (%)χ 2 = 4.8610.027
 No33 (6.46)13 (4.41)20 (9.26)
 Yes478 (93.54)282 (95.59)196 (90.74)

Metformin, n (%)χ 2 = 0.2540.615
 No497 (97.26)286 (96.95)211 (97.69)
 Yes14 (2.74)9 (3.05)5 (2.31)

Survival time, M (Q1, Q3)652.00 (87.00, 3650.00)3650.00 (1088.00, 3650.00)61.50 (17.00, 165.50)Z = −19.702<0.001
eGFR-MDRD, M (Q1, Q3)21.80 (11.97, 34.05)23.02 (12.55, 37.12)19.63 (11.32, 30.85)Z = −2.6260.009
eGFR-CKD-EPI, M (Q1, Q3)21.44 (12.93, 33.35)23.94 (13.67, 36.22)19.51 (11.86, 29.22)Z = −3.1890.001
CVD, n (%)χ 2 = 2.5280.112
 No122 (23.87)78 (26.44)44 (20.37)
 Yes389 (76.13)217 (73.56)172 (79.63)

CKD, n (%)χ 2 = 8.7740.003
 No178 (34.83)87 (29.49)91 (42.13)
 Yes333 (65.17)208 (70.51)125 (57.87)

Myocardial infarction, n (%)χ 2 = 0.0270.870
 No341 (66.73)196 (66.44)145 (67.13)
 Yes170 (33.27)99 (33.56)71 (32.87)

Hypertension, n (%)χ 2 = 1.1420.285
 No400 (78.28)226 (76.61)174 (80.56)
 Yes111 (21.72)69 (23.39)42 (19.44)

Peripheral vascular disease, n (%)χ 2 = 4.1060.043
 No481 (94.13)283 (95.93)198 (91.67)
 Yes30 (5.87)12 (4.07)18 (8.33)

Survival time within 2 years, M (Q1,Q3)730.00 (87.00, 730.00)730.00 (730.00, 730.00)61.50 (17.00, 165.50)Z = −21.501<0.001
Death within 10 years, n (%)χ 2 = 189.837<0.001
 No172 (33.66)172 (58.31)0 (0.00)
 Yes339 (66.34)123 (41.69)216 (100.00)