Comparison between SAPS II and SAPS 3 in predicting hospital mortality in a cohort of 103 Italian ICUs. Is new always better? (Articolo in rivista)

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  • Comparison between SAPS II and SAPS 3 in predicting hospital mortality in a cohort of 103 Italian ICUs. Is new always better? (Articolo in rivista) (literal)
Anno
  • 2012-01-01T00:00:00+01:00 (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#doi
  • 10.1007/s00134-012-2578-0 (literal)
Alternative label
  • Poole Daniele [ 1,2 ] ; Rossi Carlotta [ 3 ] ; Latronico Nicola [ 4 ] ; Rossi Giancarlo [ 5 ] ; Finazzi Stefano [ 6,7 ] ; Bertolini Guido [ 3 ] (2012)
    Comparison between SAPS II and SAPS 3 in predicting hospital mortality in a cohort of 103 Italian ICUs. Is new always better?
    in Intensive care medicine (Print)
    (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#autori
  • Poole Daniele [ 1,2 ] ; Rossi Carlotta [ 3 ] ; Latronico Nicola [ 4 ] ; Rossi Giancarlo [ 5 ] ; Finazzi Stefano [ 6,7 ] ; Bertolini Guido [ 3 ] (literal)
Pagina inizio
  • 1280 (literal)
Pagina fine
  • 1288 (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#numeroVolume
  • 388 (literal)
Rivista
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#numeroFascicolo
  • 8 (literal)
Note
  • ISI Web of Science (WOS) (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#affiliazioni
  • [ 1 ] San Martino Hosp, Dept Anesthesia & Intens Care, I-32100 Belluno, Italy [ 2 ] Osped Civile San Martino, Serv Anestesia & Rianimaz, Belluno, Italy [ 3 ] Ctr Ric Clin Malattie Rare Aldo & Cele Dacco, Ist Ric Farmacol Mario Negri, Bergamo, Italy [ 4 ] Univ Brescia, Spedali Civili, SSVD Neuroanestesia & Neurorianimaz, Brescia, Italy [ 5 ] Spedali Riuniti, I Serv Anestesia & Rianimaz, Livorno, Italy [ 6 ] INO CNR BEC Ctr, Trento, Italy [ 7 ] Univ Trent, Dipartimento Fis, Trento, Italy (literal)
Titolo
  • Comparison between SAPS II and SAPS 3 in predicting hospital mortality in a cohort of 103 Italian ICUs. Is new always better? (literal)
Abstract
  • More recent severity scores should be more reliable than older ones because they account for the improvement in medical care over time. To provide more insight into this issue, we compared the predictive ability of the Simplified Acute Physiology Score (SAPS) II and SAPS 3 (originally developed from data collected in 1991-1992 and 2002, respectively) on a sample of critically ill patients. This was a prospective observational study on 3,661 patients from 103 Italian intensive care units. Standardized mortality ratios (SMRs) were calculated. Assessment of calibration across risk classes was performed using the GiViTI calibration belt. Discrimination was evaluated by means of the area under the receiver operating characteristic analysis. Both scores were shown to discriminate fairly. SAPS 3 largely overpredicted mortality, more than SAPS II (SMR 0.63, 95 % CI 0.60-0.66 vs. 0.87, 95 % CI 0.83-0.91). This result was consistent and statistically significant across all risk classes for SAPS 3. SAPS II did not show relevant deviations from ideal calibration in the first two deciles of risk, whereas in higher-risk classes it overpredicted mortality. (literal)
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