Evidence map›Paper›PMID 17192174›Full record

ArticleCritical care (London, England)2006

A modified McCabe score for stratification of patients after intensive care unit discharge: the Sabadell score.

Rafael Fernandez, Francisco Baigorri, Gema Navarro, Antonio Artigas

Abstract readEvaluation Study
In one paragraph

Article in Critical care (London, England), 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  9. Development and implementation of a risk identification tool to facilitate critical care transitions for high-risk surgical patients.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2017
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Rafael FernandezCritical Care Centre, Hospital de Sabadell, Parc Taulí s/n, 08208, Sabadell, Spain. rfernandez@cspt.es
Francisco Baigorri
Gema Navarro
Antonio Artigas

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMortality in the ward after an intensive care unit (ICU) stay is considered a quality parameter, and is described as a source of avoidable mortality. Additionally, the attending intensivist frequently anticipates fatal outcome after ICU discharge. Our objective was to test the ability of a new score to stratify patients according to ward mortality after ICU discharge.

methodsA prospective cohort study was performed in the general ICU of a university-affiliated hospital. In 2003 and 2004 we prospectively recorded the attending intensivist's subjective prognosis at ICU discharge about the hospital outcome for each patient admitted to the ICU (the Sabadell score), which was later compared with the real hospital outcome.

resultsWe studied 1,521 patients with a mean age of 60.2 +/- 17.8 years. The median (25-75% percentile) ICU stay was five (three to nine) days. The ICU mortality was 23.8%, with 1,156 patients being discharged to the ward. Post-ICU ward mortality was 9.6%, mainly observed in patients with a Sabadell score of 3 (81.3%) or a score of 2 (41.1%), whereas lower mortality was observed in patients scoring 1 (17.2%) and scoring 0 (1.7%). Multivariate analysis selected age and the Sabadell score as the only variables associated with ward mortality, with an area under the receiver operating curve of 0.88 (95% CI 0.84-0.93) for the Sabadell score.

conclusionThe Sabadell score at ICU discharge works effectively to stratify patients according to hospital outcome.

Indexed as

Hospital MortalityIntensive Care UnitsPatient DischargeAdultAgedAge FactorsCohort StudiesCritical IllnessFemaleHospitals, UniversityHumansMaleMiddle AgedMultivariate AnalysisPredictive Value of TestsProspective Studies

Identifiers

PMID17192174
PMCPMC1794495

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.