Prognostic performance of the Simplified Acute Physiology Score II in major Croatian hospitals: a prospective multicenter study

Desa, Kristian; Peric, Mladen; Husedzinovic, Ino; Sustic, Alan; Korusic, Andelko; Karadza, Vjekoslav; Matlekovic, Drazen; Prstec-Veronek, Branka; Zuvic-Butorac, Marta; Sokolic, Jadranko

doi:10.3325/cmj.2012.53.442

prikaz prve stranice dokumenta Prognostic performance of the Simplified Acute Physiology Score II in major Croatian hospitals: a prospective multicenter study

Scientific paper - Original scientific paper

Prognostic performance of the Simplified Acute Physiology Score II in major Croatian hospitals: a prospective multicenter study

Croatian medical journal, 53 (2012); 442-449. https://doi.org/10.3325/cmj.2012.53.442

Desa, Kristian; Peric, Mladen; Husedzinovic, Ino; Sustic, Alan; Korusic, Andelko; Karadza, Vjekoslav; Matlekovic, Drazen; Prstec-Veronek, Branka; Zuvic-Butorac, Marta; Sokolic, Jadranko

Cite this document

APA 6th Edition

Desa, K., Peric, M., Husedzinovic, I., Sustic, A., Korusic, A., Karadza, V. ... Sokolic, J. (2012). Prognostic performance of the Simplified Acute Physiology Score II in major Croatian hospitals: a prospective multicenter study. Croatian medical journal, 53., 442-449. doi: 10.3325/cmj.2012.53.442

MLA 8th Edition

Desa, Kristian, et al. "Prognostic performance of the Simplified Acute Physiology Score II in major Croatian hospitals: a prospective multicenter study." Croatian medical journal, vol. 53, 2012, pp. 442-449. https://doi.org/10.3325/cmj.2012.53.442

Chicago 17th Edition

Desa, Kristian, Mladen Peric, Ino Husedzinovic, Alan Sustic, Andelko Korusic, Vjekoslav Karadza, Drazen Matlekovic, Branka Prstec Veronek, Marta Zuvic Butorac and Jadranko Sokolic. "Prognostic performance of the Simplified Acute Physiology Score II in major Croatian hospitals: a prospective multicenter study." Croatian medical journal 53 (2012): 442-449. https://doi.org/10.3325/cmj.2012.53.442

Harvard

Desa, K., et al. (2012) 'Prognostic performance of the Simplified Acute Physiology Score II in major Croatian hospitals: a prospective multicenter study', Croatian medical journal, 53, pp. 442-449. doi: 10.3325/cmj.2012.53.442

Vancouver

Desa K, Peric M, Husedzinovic I, Sustic A, Korusic A, Karadza V, and sur.. Prognostic performance of the Simplified Acute Physiology Score II in major Croatian hospitals: a prospective multicenter study. Croatian medical journal [Internet]. 2012 [cited 2024 April 25];53:442-449. doi: 10.3325/cmj.2012.53.442

IEEE

K. Desa, et al., "Prognostic performance of the Simplified Acute Physiology Score II in major Croatian hospitals: a prospective multicenter study", Croatian medical journal, vol. 53, pp. 442-449, 2012. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:193:789181. [Accessed: 25 April 2024]

Cite this item: https://urn.nsk.hr/urn:nbn:hr:193:789181

Please login to the repository to save this object to your list.

Metadata

Title (english)	Prognostic performance of the Simplified Acute Physiology Score II in major Croatian hospitals: a prospective multicenter study
Author	Kristian Desa
Author	Mladen Peric
Author	Ino Husedzinovic
Author	Alan Sustic
Author	Andelko Korusic
Author	Vjekoslav Karadza
Author	Drazen Matlekovic
Author	Branka Prstec-Veronek
Author	Marta Zuvic-Butorac https://orcid.org/0000-0001-9709-1508 MBZ: 172431
Author	Jadranko Sokolic
Author's institution	University of Rijeka (Faculty of Biotechnology and Drug Development)
Scientific / art field, discipline and subdiscipline	BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Intensive Care
Abstract (english)	Aim To perform an external validation of the original Simplified Acute Physiology Score II (SAPS II) system and to assess its performance in a selected group of patients in major Croatian hospitals. Methods A prospective, multicenter study was conducted in five university hospitals and one general hospital during a six-month period between November 1, 2007 and May 1, 2008. Standardized hospital mortality ratio (SMR) was calculated from the mean predicted mortality of all the 2756 patients and the actual mortality for the same group of patients. The validation of SAPS II was made using the area under receiver operating characteristic curve (AUC), 2 × 2 classification tables, and Hosmer-Lemeshow tests. Results The predicted mortality was as low as 14.6% due to a small proportion of medical patients and the SMR being 0.89 (95% confidence interval [CI], 0.78-0.98). The SAPS II system demonstrated a good discriminatory power as measured by the AUC (0.85; standard error [SE] = 0.012; 95% CI = 0.840-0.866; P < 0.001). This system significantly overestimated the actual mortality (Hosmer-Lemeshow goodness-of-fit H statistic: χ2 = 584.4; P < 0.001 and C statistics: χ28 = 313.0; P < 0.001) in the group of patients included in the study. Conclusion The SAPS II had a good discrimination, but it significantly overestimated the observed mortality in comparison with the predicted mortality in this group of patients in Croatia. Therefore, caution is required when an evaluation is performed at the individual level
Keywords (english)
Language	english
Publication type	Scientific paper - Original scientific paper
Publication status	Published
Peer review	Peer review - international
Publication version	Published version
Journal title	Croatian medical journal
Numbering	vol. 53, pp. 442-449
p-ISSN	0353-9504
e-ISSN	1332-8166
DOI	https://doi.org/10.3325/cmj.2012.53.442
URN:NBN	urn:nbn:hr:193:789181
Publication	2012
Document URL	https://www.ncbi.nlm.nih.gov/pubmed/23100206
Type of resource	Text
Access conditions	Open access
Terms of use
Created on	2018-09-30 14:36:27