Lihao Qin
1*
Zhongzhi Jia
4*The final, formatted version of the article will be published soon.
ORIGINAL RESEARCH article
Front. Cardiovasc. Med.
Sec. Thrombosis and Haemostasis
Volume 11 - 2024 |
doi: 10.3389/fcvm.2024.1393410
This article is part of the Research Topic Insights in Thrombosis and Haemostasis: From a Biological, Clinical and Genetic Perspective View all 14 articles
A Nomogram Model to Predict Non-Retrieval of Short-term Retrievable Inferior Vena Cava Filters
Provisionally accepted- 1 Changzhou No.2 People's Hospital, Changzhou, Jiangsu Province, China
- 2 The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province, China
- 3 Huaiyin Hospital of Huaian City, Huai'an, Jiangsu Province, China
- 4 Changshu No. 2 Peoples’ Hospital, Changshu, China
To develop and validate a nomogram for predicting non-retrieval of the shortterm retrievable inferior vena cava (IVC) filters.: In this study, univariate and multivariate logistic regression analyses were performed to identify predictive factors of short-term retrievable filter (Aegisy or OptEase) non-retrieval, and a nomogram was then established based on these factors. The nomogram was created based on data from a training cohort and validated based on data from a validation cohort. The predictive value of the nomogram was estimated using area under the curve (AUC) and calibration curve analysis (Hosmer-Lemeshow test). RESULTS: A total of 1321 patients who had undergone placement of short-term retrievable filters (Aegisy or OptEase) were included in the analysis. The overall retrieval rate was 68.7%. Age, proximal and distal deep vein thrombosis (DVT) vs distal DVT, active cancer, history of long-term immobilization, VTE was detected in the intensive care unit, active/recurrent bleeding, IVC thrombosis, and history of venous thromboembolism were independent predictive risk factors for non-retrieval of filters. Interventional therapy for DVT, acute fracture, and interval of ≥14 days between filter placement and patient discharge were independent protective factors for non-retrieval of filters. The nomogram based on these factors demonstrated good ability to predict the non-retrieval of filters (training cohort AUC = 0.870; validation cohort AUC = 0.813. CONCLUSION: This nomogram demonstrated strong predictive accuracy and discrimination capability. This model may help clinicians identify patients who are not candidates for short-term retrievable filter placement and help clinicians make timely, 3 individualized decisions in filter choice strategies.
Keywords: Inferior vena cava, filter, retrieval, risk factor, OptEase, nomogram
Received: 29 Feb 2024; Accepted: 25 Nov 2024.
Copyright: © 2024 Qin, Gu, Ni, Wang, Xue and Jia. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Lihao Qin, Changzhou No.2 People's Hospital, Changzhou, Jiangsu Province, China
Xiaocheng Gu, Changzhou No.2 People's Hospital, Changzhou, Jiangsu Province, China
Caifang Ni, The First Affiliated Hospital of Soochow University, Suzhou, 215006, Jiangsu Province, China
Kai Wang, Changzhou No.2 People's Hospital, Changzhou, Jiangsu Province, China
Tongqing Xue, Huaiyin Hospital of Huaian City, Huai'an, Jiangsu Province, China
Zhongzhi Jia, Changshu No. 2 Peoples’ Hospital, Changshu, China
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