Comparison of three severity scores for critically ill cancer patients
Autor: | Christian Zauner, Thomas Lang, Michael Frass, Michael Benesch, Thomas Staudinger, Friederike Traunmüller, Peter Schellongowski, Klaus Laczika, Gottfried J. Locker |
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Rok vydání: | 2004 |
Předmět: |
Adult
Male medicine.medical_specialty Adolescent Critical Care and Intensive Care Medicine Severity of Illness Index Neoplasms Intensive care Anesthesiology Health Status Indicators Humans Medicine Prospective Studies Simplified Acute Physiology Score Intensive care medicine Prospective cohort study APACHE Aged Aged 80 and over APACHE II Receiver operating characteristic business.industry Cancer Middle Aged Prognosis medicine.disease Survival Rate Intensive Care Units ROC Curve SAPS II Austria Emergency medicine Female business |
Zdroj: | Intensive Care Medicine. 30:430-436 |
ISSN: | 1432-1238 0342-4642 |
DOI: | 10.1007/s00134-003-2043-1 |
Popis: | To compare three scoring systems, the Acute Physiology and Chronic Health Evaluation (APACHE) II, the Simplified Acute Physiology Score (SAPS) II and a modified Mortality Probability Model II (ICU cancer mortality model, ICMM) for their prognostic value for mortality during hospital stay in a group of cancer patients admitted to a medical ICU. Prospective cohort study. Medical ICU of a tertiary care hospital. Two hundred forty-two consecutive cancer patients admitted to the ICU. Variables included in APACHE II, SAPS II and the ICMM scores as well as demographic data were assessed during the first 24 h of stay in the ICU. Hospital mortality was measured; it was 44%. Calibration for all three scoring systems was acceptable, SAPS II yielded a significantly superior discrimination between survivors and non-survivors. The areas under the receiver operating characteristic curves were 0.776 for APACHE II, 0.825 for SAPS II and 0.698 for the ICMM. The SAPS II was superior to APACHE II and ICMM. The newly developed ICMM does not improve mortality prediction in critically ill cancer patients. |
Databáze: | OpenAIRE |
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