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01-04-2009 | Original

Austrian validation and customization of the SAPS 3 Admission Score

Authors: Barbara Metnitz, Eva Schaden, Rui Moreno, Jean-Roger Le Gall, Peter Bauer, Philipp G. H. Metnitz, on behalf of the ASDI Study Group

Published in: Intensive Care Medicine | Issue 4/2009

Abstract

Objective

To test the prognostic performance of the SAPS 3 Admission Score in a regional cohort and to empirically test the need and feasibility of regional customization.

Design

Prospective multicenter cohort study.

Patients and setting

Data on a total of 2,060 patients consecutively admitted to 22 intensive care units in Austria from October 2, 2006 to February 28, 2007.

Measurements and results

The database includes basic variables, SAPS 3, length-of-stay and outcome data. The original SAPS 3 Admission Score overestimated hospital mortality in Austrian intensive care patients through all strata of the severity-of-illness. This was true for both available equations, the General and the Central and Western Europe equation. For this reason a customized country-specific model was developed, using cross-validation techniques. This model showed excellent calibration and discrimination in the whole cohort (Hosmer–Lemeshow goodness-of-fit: Ĥ = 4.50, P = 0.922; Ĉ = 5.61, P = 0.847, aROC, 0.82) as well as in the various tested subgroups.

Conclusions

The SAPS 3 Admission Score’s general equation can be seen as a framework for addressing the problem of outcome prediction in the general population of adult ICU patients. For benchmarking purposes, region-specific or country-specific equations seem to be necessary in order to compare ICUs on a similar level.

Available only for authorised users

Moreno RP, Metnitz PhGH (2007) Severity of illness scoring systems. Tools for the evaluation of patients and ICUs. In: Parrillo JE, Dellinger RP (eds) Critical care medicine: principles of diagnosis and management in the adult, 3rd edn. Elsevier, Amsterdam

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Metnitz B, Metnitz PhGH, Bauer P, Valentin A on behalf of the ASDI Study Group (2008) Patient volume affects outcome in critically Ill patients. Wien Klin Wochenschr 120 (in press)

For further information see also http://www.asdi.ac.at

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Title: Austrian validation and customization of the SAPS 3 Admission Score
Authors: Barbara Metnitz
Eva Schaden
Rui Moreno
Jean-Roger Le Gall
Peter Bauer
Philipp G. H. Metnitz
on behalf of the ASDI Study Group
Publication date: 01-04-2009
Publisher: Springer-Verlag
Published in: Intensive Care Medicine / Issue 4/2009
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-008-1286-2

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Austrian validation and customization of the SAPS 3 Admission Score

Abstract

Objective

Design

Patients and setting

Measurements and results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Objective

Design

Patients and setting

Measurements and results

Conclusions

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