biostudies-literatureWu XFirst Affiliated Hospital of Xinxiang Medical UniversityTuberculosis Research Institute of Xinxiang Medical UniversityGuangdong Provincial Natural Science FoundationShenzhen Science and Technology Program744https://www.ebi.ac.uk/biostudies/studies/S-EPMC12103012biostudies-literatureUnknown25(1)<h4>Background</h4>Refractory mycoplasma pneumoniae pneumonia (RMPP) can result in severe complications and long-term effects. Early identification of RMPP and appropriate treatments can effectively alleviate complications and restrict the progression of sequelae. There is currently a dearth of a comprehensive and efficient model for predicting and evaluating RMPP.<h4>Methods</h4>The development cohort consisted of patients with mycoplasma pneumoniae pneumonia (MPP) who underwent fiberoptic bronchoscopy between January 2019 and October 2021. Multivariable logistic regression analysis was used to identify independent risk factors for RMPP, and a nomogram model was developed that included initial admission examinations and clinical characteristics. The accuracy of the model was validated usiBMC infectious diseasesPredictive value of an early comprehensive assessment model for refractory mycoplasma pneumoniae pneumonia and internal validation.PMC12103012QN-2022-A10QN-2022-A05JCYJ20210324125413036XYJHB2021052021A1515011109Lu WRen YZhang RFan SLiu WLiu XWang MHe SLi SWang TZhang XWu XXu YfalsePredictive value of an early comprehensive assessment model for refractory mycoplasma pneumoniae pneumonia and internal validation.<h4>Background</h4>Refractory mycoplasma pneumoniae pneumonia (RMPP) can result in severe complications and long-term effects. Early identification of RMPP and appropriate treatments can effectively alleviate complications and restrict the progression of sequelae. There is currently a dearth of a comprehensive and efficient model for predicting and evaluating RMPP.<h4>Methods</h4>The development cohort consisted of patients with mycoplasma pneumoniae pneumonia (MPP) who underwent fiberoptic bronchoscopy between January 2019 and October 2021. Multivariable logistic regression analysis was used to identify independent risk factors for RMPP, and a nomogram model was developed that included initial admission examinations and clinical characteristics. The accuracy of the model was validated usi2025-01-01T00:00:00Z2025 May2025-07-26T03:06:32.117Z2025-07-26T03:06:32.117ZS-EPMC121030124041344810.1186/s12879-025-11133-9