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

J Immunol Res. 2023 Dec 5:2023:6616822. doi: 10.1155/2023/6616822. eCollection 2023.

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.

MeSH terms

  • Autoimmune Diseases of the Nervous System*
  • Encephalitis
  • Female
  • Hashimoto Disease
  • Humans
  • Male
  • Respiration, Artificial
  • Respiratory Insufficiency* / therapy
  • Retrospective Studies

Supplementary concepts

  • Hashimoto's encephalitis