Risk Prediction Models for Frailty in Adult Maintenance Haemodialysis Patients: A Systematic Review and Methodological Appraisal

IF 3.8 3区医学 Q1 NURSING

Journal of Advanced Nursing Pub Date : 2025-03-25 DOI:10.1111/jan.16915

Hong Zhang, Jing Li, Shi-Yao Hu, Chan Liu, Mei-Mei Liu, Yong-Xiang Xie, Shan Deng

引用次数: 0

Abstract

Frailty affects over 35% of maintenance haemodialysis (MHD) patients globally—2–3 times higher than the general elderly—and is strongly linked to higher mortality, hospitalisation, and functional decline. Despite its clinical impact, frailty is often underdiagnosed in dialysis settings due to inconsistent assessments and limited resources. Existing prediction models vary widely in predictors and methods, requiring systematic review to guide clinical use and improve risk-stratified care.

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成人维持性血液透析患者衰弱的风险预测模型：系统回顾和方法学评价

全球超过35%的维护性血液透析（MHD）患者受到虚弱的影响——比普通老年人高2 - 3倍——并且与更高的死亡率、住院率和功能下降密切相关。尽管有临床影响，但由于评估不一致和资源有限，虚弱在透析环境中经常被误诊。现有的预测模型在预测因子和方法上差异很大，需要系统的评价来指导临床使用和改善风险分层护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Advanced Nursing 医学-护理

CiteScore

6.40

自引率

7.90%

发文量

369

审稿时长

3 months

期刊介绍： The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.