Pediatric rheumatology

Development of a prediction model for poor prognosis in childhood-onset Takayasu's arteritis

Semin Arthritis RheumPublished Prospective cohort study

Authors' conclusion

We used easily accessible clinical and laboratory data to establish a nomogram model for predicting the probability of poor prognosis with hospitalized cTAK patients.

Study context

Population
Hospitalized patients with childhood-onset TAK (cTAK)median follow-up 36.0 [24.0, 60.0] months
Participants
111 patients
Exposure
Poor prognosis vs good prognosis
  • Poor prognosisn = 38
  • Good prognosisn = 73reference
Outcome
Poor prognosis (vascular complications, disease recurrence, persistent non-remission, cTAK-related death); risk factors and nomogram prediction model
Methodological detailslongitudinal, multicentre, nomogram prediction model
  • Longitudinal
  • Multicentre
  • Nomogram prediction model

Main finding

As reported in the abstract

Independent factors for poor prognosis
ITAS.A, OR
1.20
Internal carotid artery stenosis, OR
3.21
External carotid artery stenosis, OR
3.57
Aortic insufficiency, OR
3.88
Mitral insufficiency, OR
9.08
Tricuspid insufficiency, OR
15.67
Hypertensive heart disease, OR
7.42
All P values
< 0.05

Observational data: associations, not effects.

Further findings

Nomogram model performance

AUC
0.79
C-index
0.73
Accuracy after bootstrapping for 1000 repetitions
67.0%

Original publication

Development of a prediction model for poor prognosis in childhood-onset Takayasu's arteritis. Semin Arthritis Rheum. Published 21 March 2025. doi:10.1016/j.semarthrit.2025.152711

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