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Prospective comparison of three risk score models at three different surgical intensive care units

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Prospective comparison of three risk score models at three different surgical intensive care units. / Goertz, Ole; Wolff, Eike-Marie; Nierhaus, Axel; Gharagozlou, Amir F; Hirsch, Tobias; Kolbenschlag, Jonas; Lehnhardt, Marcus; Stachon, Axel.

In: SHOCK, Vol. 40, No. 2, 01.08.2013, p. 95-100.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Goertz, O, Wolff, E-M, Nierhaus, A, Gharagozlou, AF, Hirsch, T, Kolbenschlag, J, Lehnhardt, M & Stachon, A 2013, 'Prospective comparison of three risk score models at three different surgical intensive care units', SHOCK, vol. 40, no. 2, pp. 95-100. https://doi.org/10.1097/SHK.0b013e31829c5ba0

APA

Goertz, O., Wolff, E-M., Nierhaus, A., Gharagozlou, A. F., Hirsch, T., Kolbenschlag, J., Lehnhardt, M., & Stachon, A. (2013). Prospective comparison of three risk score models at three different surgical intensive care units. SHOCK, 40(2), 95-100. https://doi.org/10.1097/SHK.0b013e31829c5ba0

Vancouver

Goertz O, Wolff E-M, Nierhaus A, Gharagozlou AF, Hirsch T, Kolbenschlag J et al. Prospective comparison of three risk score models at three different surgical intensive care units. SHOCK. 2013 Aug 1;40(2):95-100. https://doi.org/10.1097/SHK.0b013e31829c5ba0

Bibtex

@article{ffff7b3a16744b5c9fbb1bb11d6f964b,
title = "Prospective comparison of three risk score models at three different surgical intensive care units",
abstract = "PURPOSE: Although risk score models are of great value, their use is restricted because of the additional effort involved. The aim of this study was to compare three different score systems. Each of these requires a different degree of effort by the medical staff. One of the score systems is solely based on routine laboratory parameters. Data were collected on three different ICUs units, with each showing a large variety in patients' health conditions.METHODS: Prospective data of 588 surgical patients were collected by means of Acute Physiology and Chronic Health Evaluation II (APACHE II), Dense Laboratory Whole Blood Applied Risk Estimation (DELAWARE), and Simplified Acute Physiology Score II (SAPS II) score systems. These patients were admitted to three different intensive care units over a period of 12 months. On the day of admission, predicted hospital survival and mortality were evaluated.RESULTS: With a cutoff value of 0.6, the sensitivity of the APACHE II, DELAWARE, and SAPS II was at 0.19, 0.24, and 0.21; the specificity was at 0.98, 0.92, and 0.98; and the correct classification rate at 0.86, 0.83, and 0.86. The r(2) value was 0.35 for the APACHE II, 0.12 for the DELAWARE, and 0.21 for the SAPS II. The hospital mortality rate was overestimated in all three score systems.CONCLUSIONS: The results of this first multicenter study comparing three risk score systems indicate that it is possible to establish a general risk score for surgical intensive care patients on admission date. Such a risk score is solely based on quality-controlled, low-cost routine laboratory parameters.",
keywords = "Adolescent, Adult, Aged, Aged, 80 and over, Female, Health Status Indicators, Humans, Intensive Care, Intensive Care Units, Male, Middle Aged, Prospective Studies, Young Adult",
author = "Ole Goertz and Eike-Marie Wolff and Axel Nierhaus and Gharagozlou, {Amir F} and Tobias Hirsch and Jonas Kolbenschlag and Marcus Lehnhardt and Axel Stachon",
year = "2013",
month = aug,
day = "1",
doi = "10.1097/SHK.0b013e31829c5ba0",
language = "English",
volume = "40",
pages = "95--100",
journal = "SHOCK",
issn = "1073-2322",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

RIS

TY - JOUR

T1 - Prospective comparison of three risk score models at three different surgical intensive care units

AU - Goertz, Ole

AU - Wolff, Eike-Marie

AU - Nierhaus, Axel

AU - Gharagozlou, Amir F

AU - Hirsch, Tobias

AU - Kolbenschlag, Jonas

AU - Lehnhardt, Marcus

AU - Stachon, Axel

PY - 2013/8/1

Y1 - 2013/8/1

N2 - PURPOSE: Although risk score models are of great value, their use is restricted because of the additional effort involved. The aim of this study was to compare three different score systems. Each of these requires a different degree of effort by the medical staff. One of the score systems is solely based on routine laboratory parameters. Data were collected on three different ICUs units, with each showing a large variety in patients' health conditions.METHODS: Prospective data of 588 surgical patients were collected by means of Acute Physiology and Chronic Health Evaluation II (APACHE II), Dense Laboratory Whole Blood Applied Risk Estimation (DELAWARE), and Simplified Acute Physiology Score II (SAPS II) score systems. These patients were admitted to three different intensive care units over a period of 12 months. On the day of admission, predicted hospital survival and mortality were evaluated.RESULTS: With a cutoff value of 0.6, the sensitivity of the APACHE II, DELAWARE, and SAPS II was at 0.19, 0.24, and 0.21; the specificity was at 0.98, 0.92, and 0.98; and the correct classification rate at 0.86, 0.83, and 0.86. The r(2) value was 0.35 for the APACHE II, 0.12 for the DELAWARE, and 0.21 for the SAPS II. The hospital mortality rate was overestimated in all three score systems.CONCLUSIONS: The results of this first multicenter study comparing three risk score systems indicate that it is possible to establish a general risk score for surgical intensive care patients on admission date. Such a risk score is solely based on quality-controlled, low-cost routine laboratory parameters.

AB - PURPOSE: Although risk score models are of great value, their use is restricted because of the additional effort involved. The aim of this study was to compare three different score systems. Each of these requires a different degree of effort by the medical staff. One of the score systems is solely based on routine laboratory parameters. Data were collected on three different ICUs units, with each showing a large variety in patients' health conditions.METHODS: Prospective data of 588 surgical patients were collected by means of Acute Physiology and Chronic Health Evaluation II (APACHE II), Dense Laboratory Whole Blood Applied Risk Estimation (DELAWARE), and Simplified Acute Physiology Score II (SAPS II) score systems. These patients were admitted to three different intensive care units over a period of 12 months. On the day of admission, predicted hospital survival and mortality were evaluated.RESULTS: With a cutoff value of 0.6, the sensitivity of the APACHE II, DELAWARE, and SAPS II was at 0.19, 0.24, and 0.21; the specificity was at 0.98, 0.92, and 0.98; and the correct classification rate at 0.86, 0.83, and 0.86. The r(2) value was 0.35 for the APACHE II, 0.12 for the DELAWARE, and 0.21 for the SAPS II. The hospital mortality rate was overestimated in all three score systems.CONCLUSIONS: The results of this first multicenter study comparing three risk score systems indicate that it is possible to establish a general risk score for surgical intensive care patients on admission date. Such a risk score is solely based on quality-controlled, low-cost routine laboratory parameters.

KW - Adolescent

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Female

KW - Health Status Indicators

KW - Humans

KW - Intensive Care

KW - Intensive Care Units

KW - Male

KW - Middle Aged

KW - Prospective Studies

KW - Young Adult

U2 - 10.1097/SHK.0b013e31829c5ba0

DO - 10.1097/SHK.0b013e31829c5ba0

M3 - SCORING: Journal article

C2 - 23698551

VL - 40

SP - 95

EP - 100

JO - SHOCK

JF - SHOCK

SN - 1073-2322

IS - 2

ER -