Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Metnitz, B; Schaden, E; Moreno, R; Le Gall, JR; Bauer, P; Metnitz, PG; ASDI Study Group.
Austrian validation and customization of the SAPS 3 Admission Score.
Intensive Care Med. 2009; 35(4):616-622
Doi: 10.1007/s00134-008-1286-2
Web of Science
PubMed
FullText
FullText_MUG
- Führende Autor*innen der Med Uni Graz
- Metnitz Philipp
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- Abstract:
- To test the prognostic performance of the SAPS 3 Admission Score in a regional cohort and to empirically test the need and feasibility of regional customization. Prospective multicenter cohort study. Data on a total of 2,060 patients consecutively admitted to 22 intensive care units in Austria from October 2, 2006 to February 28, 2007. The database includes basic variables, SAPS 3, length-of-stay and outcome data. The original SAPS 3 Admission Score overestimated hospital mortality in Austrian intensive care patients through all strata of the severity-of-illness. This was true for both available equations, the General and the Central and Western Europe equation. For this reason a customized country-specific model was developed, using cross-validation techniques. This model showed excellent calibration and discrimination in the whole cohort (Hosmer-Lemeshow goodness-of-fit: H = 4.50, P = 0.922; C = 5.61, P = 0.847, aROC, 0.82) as well as in the various tested subgroups. The SAPS 3 Admission Score's general equation can be seen as a framework for addressing the problem of outcome prediction in the general population of adult ICU patients. For benchmarking purposes, region-specific or country-specific equations seem to be necessary in order to compare ICUs on a similar level.
- Find related publications in this database (using NLM MeSH Indexing)
- Aged -
- Aged -
- Critical Care - standards
- Critical Care - statistics & numerical data
- Data Collection - standards
- Demography -
- Female -
- Hospital Mortality - trends
- Humans -
- Intensive Care Units - statistics & numerical data
- Length of Stay - statistics & numerical data
- Male -
- Patient Admission -
- Predictive Value of Tests -
- Prognosis -
- Quality Assurance, Health Care - standards
- Reproducibility of Results -
- Surveys and Questionnaires -
- Find related publications in this database (Keywords)
- Severity-of-illness
- Outcome
- Prognosis
- Customization
- SAPS 3