Evaluation of ICU Risk Models Adapted for Use as Continuous Markers of Severity of Illness Throughout the ICU Stay

Critical Care Medicine
Omar BadawiSunil Swami

Abstract

Evaluate the accuracy of different ICU risk models repurposed as continuous markers of severity of illness. Nonintervention cohort study. eICU Research Institute ICUs using tele-ICU software calculating continuous ICU Discharge Readiness Scores between January 2013 and March 2016. Five hundred sixty-one thousand four hundred seventy-eight adult ICU patients with an ICU length of stay between 4 hours and 30 days. Not available. Hourly Acute Physiology and Chronic Health Evaluation IV, Sequential Organ Failure Assessment, and Discharge Readiness Scores were calculated beginning hour 4 of the ICU stay. Primary outcome was the area under the receiver operating characteristic curve for the mean score with ICU mortality. Secondary outcomes included area under the receiver operating characteristic curves for ICU mortality with admission, median, maximum and last scores, and for death within 24 hours. The trajectories of each score were visualized by plotting the hourly averages against time in the ICU, stratified by mortality and length of stay. The area under the receiver operating characteristic curves for mean Acute Physiology and Chronic Health Evaluation, Sequential Organ Failure Assessment, and Discharge Readiness Scores were 0....Continue Reading

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Citations

Feb 24, 2018·Critical Care Medicine·Daniel E Leisman
Jan 30, 2019·Current Opinion in Anaesthesiology·Christian D BeckerCorey Scurlock
Mar 29, 2019·Critical Care Medicine·Shiming YangPeter F Hu
May 28, 2019·Critical Care : the Official Journal of the Critical Care Forum·Andrea SooChristopher J Doig
Aug 10, 2019·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Christopher M HorvatRobert S B Clark
Feb 23, 2020·Journal of Evidence-based Medicine·Jin YangJun Lyu
Mar 14, 2020·Critical Care Explorations·Junchao MaEdieal Pinker
Mar 1, 2019·Current Opinion in Anaesthesiology·Christian D BeckerCorey Scurlock
Nov 4, 2020·Expert Review of Anti-infective Therapy·Nicholas HemingDjillali Annane
Sep 16, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Eduardo A Trujillo RiveraMurray M Pollack
Mar 13, 2021·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Melissa D AczonRandall C Wetzel

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