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

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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

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

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

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

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 November 25];53:442-449. doi: 10.3325/cmj.2012.53.442

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 November 2024]

Metadata
Title (english)Prognostic performance of the Simplified Acute Physiology Score II in major Croatian hospitals: a prospective multicenter study
AuthorKristian Desa
AuthorMladen Peric
AuthorIno Husedzinovic
AuthorAlan Sustic
AuthorAndelko Korusic
AuthorVjekoslav Karadza
AuthorDrazen Matlekovic
AuthorBranka Prstec-Veronek
AuthorMarta Zuvic-Butorac https://orcid.org/0000-0001-9709-1508
MBZ: 172431
AuthorJadranko Sokolic
Author's institutionUniversity 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)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleCroatian medical journal
Numberingvol. 53, pp. 442-449
p-ISSN0353-9504
e-ISSN1332-8166
DOIhttps://doi.org/10.3325/cmj.2012.53.442
URN:NBNurn:nbn:hr:193:789181
Publication2012
Document URLhttps://www.ncbi.nlm.nih.gov/pubmed/23100206
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2018-09-30 14:36:27