Research Article

Establishment and Validation of a Predictive Model for Radiation-Associated Aspiration Pneumonia in Patients with Radiation-Induced Dysphagia after Nasopharyngeal Carcinoma

Table 2

Risk factors for radiation-associated aspiration pneumonia.

VariableUnivariate cox regressionMultivariate cox regression
HR (95% CI)HR (95% CI)

Age, years (<51 vs. ≥51)1.458 (0.856-2.485)0.166
Sex (male vs. female)0.824 (0.437-1.553)0.549
Current smoking (no vs. yes)1.165 (0.466-2.916)0.744
Diet0.029
 Oral dietReference
 Gastrostomy0.758 (0.105-5.497)0.784
 Nasogastric tube3.448 (1.370-8.677)0.009
Kubota water drinking test<0.0010.002
 Grade 2ReferenceReference
 Grade 31.553 (0.698-3.454)0.2801.311 (0.583-2.946)0.513
 Grade 43.609 (2.038-6.391)<0.0013.245 (1.731-6.082)<0.001
 Grade 54.977 (1.480-16.739)0.0104.422 (1.291-15.148)0.018
Steroid (no vs. yes)0.508 (0.304-0.848)0.010
of the GTVnx (<70 vs. ≥70)1.048 (0.583-1.885)0.876
of the GTVnd (<64 vs. ≥64)2.016 (1.196-3.398)0.0092.640 (1.513-4.607)0.001
Radiotherapy methods (conventional vs. IMRT)0.593 (0.355-0.991)0.046
Neutrophil count, ×109/L (<4.47 vs. 4.47)1.840 (1.086-3.117)0.0232.004 (1.153-3.484)0.014
Hemoglobin, g/L (<127.5 vs. 127.5)0.575 (0.339-0.975)0.040
LDL, mmol/L (<3.25 vs. ≥3.25)0.505 (0.296-0.862)0.012
Prealbumin, mg/L (<0.24 vs. ≥0.24)0.499 (0.292-0.850)0.011
Albumin, g/L (<39.3 vs. 39.3)0.406 (0.235-0.701)0.001
hsCRP, mg/L (<4.70 vs. 4.70)3.121 (1.757-5.543)<0.001
ESR, mm/h (<20 vs. ≥20)6.041 (3.053-11.951)<0.0014.429 (2.183-8.987)<0.001
TNM stage0.285
 Stage 1Reference
 Stage 21.452 (0.169-12.495)0.734
 Stage 31.830 (0.249-13.446)0.553
 Stage 42.811 (0.380-20.796)0.312
Secondary radiotherapy (no vs. yes)0.668 (0.208-2.137)0.496
Chemotherapy (no vs. yes)0.655 (0.310-1.383)0.267