Evidence map›Paper›PMID 30218383›Full record

ArticleJournal of medical systems2018

Validation of a Sequential Organ Failure Assessment Score using Electronic Health Record Data.

Luis E Huerta, Jonathan P Wanderer, Jesse M Ehrenfeld, Robert E Freundlich, Todd W Rice, Matthew W Semler, SMART Investigators and the Pragmatic Critical Care Research Group

Abstract read
In one paragraph

Article in Journal of medical systems, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Trial
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Observational
  8. Article
  9. Validation of an Electronic Pediatric Index of Mortality 2 Score in a Mixed Quaternary PICU.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2020
    Observational
  10. The Blessing and the Curse of the Administrative Database.Annals of the American Thoracic Society · 2020
    Article
  11. Article
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.

Luis E HuertaDivision of Allergy, Pulmonary, and Critical Care Medicine, Department of Medicine, Vanderbilt University Medical Center, 1161 21st Ave S., T-1218 MCN, Nashville, TN, 37232-2650, USA. luis.e.huerta@vumc.org.ORCID http://orcid.org/0000-0002-4343-9510
Jonathan P WandererDepartment of Anesthesiology, Vanderbilt University Medical Center, 1161 21st Ave S., T-1218 MCN, Nashville, TN, 37232-2650, USA.
Jesse M EhrenfeldDepartment of Anesthesiology, Vanderbilt University Medical Center, 1161 21st Ave S., T-1218 MCN, Nashville, TN, 37232-2650, USA.
Robert E FreundlichDepartment of Anesthesiology, Vanderbilt University Medical Center, 1161 21st Ave S., T-1218 MCN, Nashville, TN, 37232-2650, USA.
Todd W RiceDivision of Allergy, Pulmonary, and Critical Care Medicine, Department of Medicine, Vanderbilt University Medical Center, 1161 21st Ave S., T-1218 MCN, Nashville, TN, 37232-2650, USA.
Matthew W SemlerDivision of Allergy, Pulmonary, and Critical Care Medicine, Department of Medicine, Vanderbilt University Medical Center, 1161 21st Ave S., T-1218 MCN, Nashville, TN, 37232-2650, USA.
SMART Investigators and the Pragmatic Critical Care Research Group

Funding

Vanderbilt Institute for Clinical and Translational Research (VICTR) -Identifying correlates of functional immunity in SARS-CoV-2 convalescent plasmaUL1TR002243 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul A. Harris, Wesley H Self · 2017 to 2026
$130.7M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Institutional Career Development CoreKL2TR002245 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Julie A. Bastarache · 2017 to 2026
$9.3M
Clinical and Translational Training Program in Pulmonary MedicineT32HL087738 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Lorraine B Ware · 2007 to 2026
$7.0M
Childhood Infections Research ProgramT32AI095202 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI JAMES E CASSAT · 2011 to 2026
$4.2M
The Vanderbilt Emergency Care Research Training ProgramK12HL133117 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI STORROW, ALAN B · 2016 to 2020
$1.9M
Citrulline to Prevent or Mitigate Acute Lung Injury in Severe SepsisR34HL105869 · NHLBI · VANDERBILT UNIVERSITY · PI RICE, TODD W · 2012 to 2014
$686k
National Institute of Allergy and Infectious Diseases 5T32AI095202NCATS NIH HHS KL2 TR002245NCATS NIH HHS UL1 TR000445NHLBI NIH HHS K12 HL133117NHLBI NIH HHS K12HL133117NHLBI NIH HHS T32 HL087738NIAID NIH HHS T32 AI095202NIH HHS R34HL105869School of Medicine, Vanderbilt University KL2TR002245Vanderbilt Institute for Clinical and Translational Research UL1TR000445Vanderbilt Institute for Clinical and Translational Research UL1TR002243
6 · The paper itself

Abstract

The sequential organ failure assessment (SOFA) score is a scoring system commonly used in critical care to assess severity of illness. Automated calculation of the SOFA score using existing electronic health record data would broaden its applicability. We performed a manual validation of an automated SOFA score previously developed at our institution. A retrospective analysis of a random subset of 300 patients from a previously published randomized trial of critically ill adults was performed, with manual validation of SOFA scores from the date of initial intensive care unit admission. Spearman's rank correlation coefficient, weighted Cohen's kappa, and Bland-Altman plots were used to assess agreement between manual and electronic versions of SOFA scores and between manual and electronic versions of their individual components. There was high agreement between manual and electronic SOFA scores (Spearman's rank correlation coefficient = 0.90, 95% CI 0.87-0.93). Renal and respiratory components had lower agreement (weighted Cohen's kappa = 0.63, 95% CI 0.53-0.73 for renal; weighted Cohen's kappa = 0.77, 95% CI 0.70-0.84 for respiratory). The area under the receiver operating characteristic curve (AUC) for 30-day in-hospital mortality was 0.77 (95% CI 0.68-0.84) for manual SOFA scores and 0.75 (95% CI 0.66-0.83) for automated SOFA scores. Automatic calculation of SOFA scores from the electronic health record is feasible and correlates highly with manually calculated SOFA scores. Both have similar predictive value for 30-day in-hospital mortality.

Indexed as

Electronic Health RecordsHospital MortalityOrgan Dysfunction ScoresAgedFemaleHumansIntensive Care UnitsMaleMiddle AgedPrognosisRetrospective StudiesROC CurveSeverity of Illness IndexAutomationCritical careDecision support techniquesSepsis

Identifiers

PMID30218383
PMCPMC6261278

What OpenQuestion holds

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Registered trials

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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.