Evidence map›Paper›PMID 29804039›Full record

ArticleJournal of critical care2018

Hospital mortality prediction for intermediate care patients: Assessing the generalizability of the Intermediate Care Unit Severity Score (IMCUSS).

David N Hager, Varshitha Tanykonda, Zeba Noorain, Sarina K Sahetya, Catherine E Simpson, Juan Felipe Lucena, Dale M Needham

Abstract read
In one paragraph

Article in Journal of critical care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

David N HagerDivision of Pulmonary & Critical Care Medicine, Department of Medicine, Johns Hopkins University, Baltimore, MD, United States. Electronic address: dhager1@jhmi.edu.
Varshitha TanykondaBangalore Medical College and Research Institute, Bangalore, India.
Zeba NoorainBangalore Medical College and Research Institute, Bangalore, India.
Sarina K SahetyaDivision of Pulmonary & Critical Care Medicine, Department of Medicine, Johns Hopkins University, Baltimore, MD, United States. Electronic address: ssahety1@jhmi.edu.
Catherine E SimpsonDivision of Pulmonary & Critical Care Medicine, Department of Medicine, Johns Hopkins University, Baltimore, MD, United States. Electronic address: catherine.simpson@jhmi.edu.
Juan Felipe LucenaDivision of Intermediate Care and Hospitalists Unit, Department of Internal Medicine, Clinica Universidad de Navarra, Pamplona, Navarra, Spain. Electronic address: flucena@unav.es.
Dale M NeedhamDivision of Pulmonary & Critical Care Medicine, Department of Medicine, Johns Hopkins University, Baltimore, MD, United States; Armstrong Institute for Patient Safety, John Hopkins University, Baltimore, MD, United States; Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University, Baltimore, MD, United States; Department of Physical Medicine and Rehabilitation, School of Medicine, Johns Hopkins University, Baltimore, MD, United States. Electronic address: dale.needham@jhmi.edu.

Funding

MULTIDISCIPLINARY TRAINING PROGRAM IN LUNG DISEASEST32HL007534 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Nadia N Hansel, Larissa A. Shimoda · 1985 to 2026
$28.3M
NHLBI NIH HHS T32 HL007534
6 · The paper itself

Abstract

purposeThe Intermediate Care Unit Severity Score (IMCUSS) is an easy to calculate predictor of in-hospital death, and the only such tool developed for patients in the intermediate care setting. We sought to examine its external validity. MATERIALS AND

methodsUsing data from patients admitted to the intermediate care unit (IMCU) of an urban academic medical center from July to December of 2012, model discrimination and calibration for predicting in-hospital death were assessed using the area under the receiver operating characteristic (AUROC) and the Hosmer-Lemeshow goodness-of-fit chi-squared (HL GOF X

resultsThe cohort included data from 628 unique admissions to the IMCU. Overall hospital mortality was 8.3%. The median IMCUSS was 10 (Interquartile Range: 0-16), with 229 (36%) patients having a score of zero. The AUROC for the IMCUSS was 0.72 (95% CI: 0.64-0.78), the HL GOF X

conclusionsThe IMCUSS exhibited acceptable discrimination, poor calibration, and underestimated mortality. Other centers should assess the performance of the IMCUSS before adopting its use.

Indexed as

Hospital MortalityIntensive Care UnitsSeverity of Illness IndexAdolescentAdultAgedArea Under CurveCalibrationCritical CareFemaleHumansLength of StayMaleMiddle AgedModels, OrganizationalOutcome Assessment, Health CareIntermediate careMortality predictionOutcome prediction scoreProgressive careStepdown care

Identifiers

PMID29804039
PMCPMC7263171

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Registered trials

None linked

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.