Repository of Research and Investigative Information

Repository of Research and Investigative Information

Ilam University of Medical Sciences

Prediction of hospital mortality from admission laboratory data and patient age: A simple model

Fri May 24 10:20:56 2024

(2011) Prediction of hospital mortality from admission laboratory data and patient age: A simple model. Emergency Medicine Australasia. pp. 354-363. ISSN 1742-6731

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Objective: To devise a simple clinical storing system, using age of patients and laboratory data available on admission, to predict in-hospital mortality of unselected medical and surgical patients. Methods: All patients admitted as emergencies to a large teaching hospital in Liverpool in the 5 months July-November 2004 were reviewed retrospectively, identifying all who died in hospital and controls who survived. Laboratory data available on admission were extracted to form a derivation dataset. Factors that predicted mortality were determined using logistic regression analysis and then used to construct models tested using receiver operating characteristic curves. Models were simplified to include only seven data items, with minimal loss of predictive efficiency. The simplified model was tested in a second validation dataset of all patients admitted to the same hospital in October and November 2004. Results: The derivation dataset included 550 patients who died and 1100 controls. After logistic regression comparisons, 22 dummy variables were given weightings in discriminant analysis and used to create a receiver operating characteristic curve with area under the curve (AUC) of 0.884. The model was simplified to include the seven most discriminant variables, which can each be assigned scores of 2, 3 or 4 to form an index predicting outcome; a validation dataset contained 4828 patients (overall mortality 4.7), showed this simplified scoring system accurately predicted mortality with AUC 0.848, compared with an AUC of 0.861 in a model containing all 23 original variables. Conclusion: A simple scoring system accurately predicts in-hospital mortality of unselected hospital patients, using age of patient and a small number of laboratory parameters available very soon after admission.

Item Type: Article
Keywords: acute admission laboratory data mortality outcome scoring system community-acquired pneumonia independent risk-factors early warning score medical admissions myocardial-infarction emergency-department intensive-care classification-system renal-insufficiency acute physiology Emergency Medicine
Page Range: pp. 354-363
Journal or Publication Title: Emergency Medicine Australasia
Journal Index: ISI
Volume: 23
Number: 3
Identification Number:
ISSN: 1742-6731
Depositing User: مهندس مهدی شریفی

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