[en] OBJECTIVE: Our study was to assess the validity of SAPS II (New Simplified Acute Physiology Score) to predict the probability of in hospital mortality, in a cohort of patient admitted to a medical intensive care unit. STUDY DESIGN: Prospective study. PATIENTS AND METHODS: Out of 467 the 525 patients admitted were included. SAPS score and in hospital mortality prediction were calculated for each of them. RESULTS: In this group, SAPS II offered a satisfactory discrimination power with an area under the curve of 0.843. However, calibration showed a lack of fit (chi 2 = 28.5, P < 0.001), with an overall under prediction of mortality (observed versus expected ratio of 1.12). CONCLUSION: This SAPS II lower predicting accuracy in a specific population and for individual outcome prediction may reduce its interest in clinical decision-making.
Disciplines :
General & internal medicine
Author, co-author :
Ghuysen, Alexandre ; Université de Liège - ULiège > Département des sciences de la santé publique > Réanimation - Urgence extrahospitalière
Lambermont, Bernard ; Centre Hospitalier Universitaire de Liège - CHU > Frais communs médecine
D'Orio, Vincenzo ; Université de Liège - ULiège > Département des sciences cliniques > Médecine d'urgence - bioch. et phys. hum. normales et path.
Language :
French
Title :
Application du Simplified Acute Physiology Score II (SAPS II) dans une unite de soins intensifs medicaux
Alternative titles :
[en] Application of the Simplified Acute Physiology Score Ii (Saps Ii) in a Medical Intensive Care Unit
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