Table 2.
Maximal predictive performance (c-statistic) value and length of the lookback period when it is reached (year) (> 65 years old as of April 1st, 2019, Québec [Canada], n > 1.4 million)
c-statisticb (length of LP when the maximal predictive performance is reached) by health outcomes |
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List of diseasesa | MM definition | 1-year mortality | Hospitalisation (≥ 1/y) | Frequent visits to ED (≥ 3/y) | Frequent visits to GP (≥ 7/y) | Frequent visits to specialist physicians (≥ 10/y) | Polypharmacy (≥ 10/y) | |
All-inclusive list (L60) | MM2+ | 0.793 (1) | 0.668 (1) | 0.696 (1) | 0.682 (3) | 0.695 (2) | 0.710 (3) | |
MM3+ | 0.799 (1) | 0.676 (2) | 0.708 (3) | 0.689 (5) | 0.692 (3) | 0.723 (5) | ||
MM4+ | 0.802 (2) | 0.679 (3) | 0.714 (4) | 0.693 (7) | 0.691 (5) | 0.733 (7) | ||
Core list (L20) | MM2+ | 0.800 (2) | 0.676 (3) | 0.710 (3) | 0.696 (6) | 0.675 (5) | 0.734 (7) | |
MM3+ | 0.801 (4) | 0.676 (7) | 0.714 (8) | 0.699 (14) | 0.671 (12) | 0.737 (7) | ||
MM4+ | 0.798 (7) | 0.672 (15) | 0.713 (13) | 0.695 (20) | 0.663 (20) | 0.728 (20) | ||
Charlson & Elixhauser list (L31) | MM2+ | 0.809 (2) | 0.677 (3) | 0.711 (3) | 0.678 (5) | 0.682 (4) | 0.732 (8) | |
MM3+ | 0.814 (4) | 0.680 (5) | 0.716 (5) | 0.681 (19) | 0.677 (9) | 0.748 (8) | ||
MM4+ | 0.815 (5) | 0.681 (11) | 0.718 (10) | 0.680 (20) | 0.672 (19) | 0.745 (20) |
Abbreviation: ED: emergency department; GP: general practitioners; LP: lookback period; MM2+: multimorbidity defines as ≥ 2 chronic conditions; MM3+: multimorbidity defined as ≥ 3 chronic conditions; MM4+: multimorbidity defined as ≥ 4 chronic conditions; y: year
a: The All-inclusive list groups all ICD codes of chronic diseases into 60 chronic conditions; the Core list includes 20 chronic diseases associated with a high Disable-adjusted life years (DALY) impact; the Charlson & Elixhauser list combines 31 medical conditions included in both indices.
b: The c-statistic value in bold indicate the maximal value observed and the length of the lookback period (year) when the maximal c-statistic value is met for a specific health outcome, for each list of diseases