TABLE 2.
Ability of the Model to Triage PICU Admissions
| Predicted Probability of Death | Positive Likelihood Ratio (95% CI) | Negative Likelihood Ratio (95% CI) | Per 1000 Admissions (~63 of Which Would Die) | Percentage of Admissions Triaged As High-Acuity (Ratio of Incorrect to Correct High-Acuity Triages) | |||
|---|---|---|---|---|---|---|---|
| True Positive (High-Risk Admission Triaged to High-Acuity Area) | False Positive (Low-Risk Admission Triaged to High-Acuity Area) | True Negative (Low-Risk Admission Triaged to Low-Acuity Area) | False Negative (High-Risk Admission Triaged to Low-Acuity Area) | ||||
| 2.5% | 1.18 (1.14–1.21) | 0.07 (0.01–0.46) | 62 | 788 | 150 | 1 | 85.0% (13:1) |
| 5% | 2.31 (2.08–2.57) | 0.23 (0.14–0.37) | 54 | 347 | 590 | 9 | 40.1% (6:1) |
| 7.5% | 3.27 (2.73–3.91) | 0.44 (0.33–0.57) | 41 | 186 | 751 | 22 | 22.7% (5:1) |
| 10% | 5.75 (4.57–7.23) | 0.47 (0.37–0.59) | 36 | 94 | 844 | 26 | 13.0% (3:1) |
| 15% | 11.43 (8.22–15.88) | 0.56 (0.46–0.67) | 29 | 39 | 899 | 34 | 12.3% (1:1) |
Performance of the model at five cutoffs (decision thresholds or threshold probabilities). A cutoff of 10% reflects a triage strategy whereby all admissions with a predicted probability of death ≥ 10% are directed to a high-acuity area and all other admissions managed on the main unit. A decrease in threshold probability (cutoff) is associated with an increase in the sensitivity of the triage strategy for identifying high-risk admissions, at the cost of a greater proportion of admissions being directed to the high-acuity area. Additional classification indices are provided in Appendix 18 (http://links.lww.com/PCC/C445).