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), 5; 442-449. https://doi.org/10.3325/cmj.2012.53.442
Deša, Kristian; Perić, Mladen; Husedžinović, Ino; Šustić, Alan; Korušić, Anđelko; Karadža, Vjekoslav; Matleković, Dražen; Prstec-Veronek, Branka; Žuvić-Butorac, Marta; Sokolić, Jadranko; Širanović, Mladen; Bošnjak, Danica; Špiček-Macan, Jasna; Guštin, Denis; Ožeg-Jakopović, Draženka More authors...

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Deša, K., Perić, M., Husedžinović, I., Šustić, A., Korušić, A., Karadža, V. ... Ožeg Jakopović, D. (2012). Prognostic performance of the Simplified Acute Physiology Score II in major Croatian hospitals: a prospective multicenter study. Croatian Medical Journal, 53. (5), 442-449. doi: 10.3325/cmj.2012.53.442

Deša, 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, no. 5, 2012, pp. 442-449. https://doi.org/10.3325/cmj.2012.53.442

Deša, Kristian, Mladen Perić, Ino Husedžinović, Alan Šustić, Anđelko Korušić, Vjekoslav Karadža, Dražen Matleković, et al. "Prognostic performance of the Simplified Acute Physiology Score II in major Croatian hospitals: a prospective multicenter study." Croatian Medical Journal 53, no. 5 (2012): 442-449. https://doi.org/10.3325/cmj.2012.53.442

Deša, 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(5), pp. 442-449. doi: 10.3325/cmj.2012.53.442

Deša K, Perić M, Husedžinović I, Šustić A, Korušić A, Karadža 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 October [cited 2024 November 25];53(5):442-449. doi: 10.3325/cmj.2012.53.442

K. Deša, et al., "Prognostic performance of the Simplified Acute Physiology Score II in major Croatian hospitals: a prospective multicenter study", Croatian Medical Journal, vol. 53, no. 5, pp. 442-449, October 2012. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:565063. [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 Deša
AuthorMladen Perić
AuthorIno Husedžinović
AuthorAlan Šustić
AuthorAnđelko Korušić
AuthorVjekoslav Karadža
AuthorDražen Matleković
AuthorBranka Prstec-Veronek
AuthorMarta Žuvić-Butorac
AuthorJadranko Sokolić
AuthorMladen Širanović
AuthorDanica Bošnjak
AuthorJasna Špiček-Macan
AuthorDenis Guštin
AuthorDraženka Ožeg-Jakopović
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Anaesthesiology,reanimatology and Intensive Care)
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: χ(2) =584.4; P<0.001 and C statistics: χ(2)(8) =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, no. 5, pp. 442-449
p-ISSN0353-9504
e-ISSN1332-8166
DOIhttps://doi.org/10.3325/cmj.2012.53.442
URN:NBNurn:nbn:hr:184:565063
Publication2012-10
Document URLhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3490455/
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2022-04-01 12:45:03