Validation and Comparison of a Modified Elixhauser Index for Predicting In-Hospital Mortality in Italian Internal Medicine Wards
| Autor: | Emanuele Di Simone, Rosaria Cappadona, Alfredo De Giorgi, Caterina Savriè, María A Rodríguez-Borrego, Massimo Gallerani, Fabio Fabbian, Benedetta Boari, Pablo Jesús López-Soto, Roberto Manfredini |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Index (economics) In hospital mortality business.industry Hospitalized patients 030503 health policy & services Health Policy Comorbidity score Public Health Environmental and Occupational Health Retrospective cohort study medicine.disease Comorbidity 03 medical and health sciences 0302 clinical medicine Internal medicine Chart review medicine 030212 general & internal medicine 0305 other medical science business Hospital stay |
| Zdroj: | Risk Management and Healthcare Policy. 13:443-451 |
| ISSN: | 1179-1594 |
| DOI: | 10.2147/rmhp.s247633 |
| Popis: | Purpose Burden of comorbidities appears to be related to clinical outcomes in hospitalized patients. Clinical stratification of admitted patients could be obtained calculating a comorbidity score, which represents the simplest way to identify the severity of patients' clinical conditions and a practical approach to assess prevalent comorbidities. Our aim was to validate a modified Elixhauser score for predicting in-hospital mortality (IHM) in internal medicine admissions and to compare it with a different one derived from clinical data previously used in a similar setting, having a good prognostic accuracy. Patients and Methods A single-center retrospective study enrolled all patients admitted to internal medicine department between January and June 2016. A modified Elixhauser score was calculated from chart review and administrative data ; moreover, a second prognostic index was calculated from chart review only. Comorbidity scores were compared using c-statistic. Results We analyzed 1614 individuals without selecting the reason for admission, 224 (13.9%) died during hospital stay. Deceased subjects were older (83.3±9.1 vs 78.4±13.5 years; p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|