Academic Editors: Giuseppe Coppolino, Ichiro Wakabayashi and Klaus Groschner
Aims: To establish a nomogram-scoring model for evaluating the risk of
death in patients with critical cardiovascular disease after continuous renal
replacement therapy (CRRT) in a coronary care unit (CCU). Methods: This
retrospective cohort study included data collected on 172 patients, in whom CRRT
was initiated in the CCU between January 2017 and June 2021. Predictors of
mortality were selected using an adaptive least absolute shrinkage and selection
operator logistic model and used to construct a nomogram. The nomogram was
evaluated using the concordance index (C-index) and Hosmer–Lemeshow test.
Results: The number of patients who died in-hospital after CRRT was 91
(52.9%). The results of the multivariate logistic regression analyses clarified
that age, history of hypertension and/or coronary artery bypass grafting, a
diagnosis of unstable angina pectoris or acute myocardial infarction, ejection
fraction, systolic blood pressure, creatinine, neutrophil, and platelet counts
before CRRT initiation were significant predictors of early mortality in patients
treated with CRRT. The nomogram constructed on these predictors demonstrated
significant discriminative power with an unadjusted C-index of 0.902 (95% CI:
0.858–0.945) and a bootstrap-corrected C-index of 0.875. Visual inspection
showed a good agreement between actual and predicted probabilities
(Hosmer–Lemeshow