Table 3.
Prediction model | Discrimination AUC (95% CI) H-L p value | Calibration | Precision Brier score |
---|---|---|---|
All patients (n=890) | |||
APACHE IIa | 0.80 (0.77–0.84) | 0.099 | 0.139 |
IMPACT corea | 0.80 (0.77–0.83) | <0.001 | 0.140 |
IMPACT extendeda | 0.80 (0.77–0.83) | <0.001 | 0.144 |
IMPACT laba | 0.81 (0.78–0.84) | 0.054 | 0.136 |
Development sample (n=450) | |||
APACHE IIa | 0.80 (0.75–0.84) | 0.364 | 0.137 |
IMAPCT corea | 0.78 (0.73–0.84) | 0.030 | 0.137 |
IMPACT extendeda | 0.79 (0.74–0.84) | 0.001 | 0.143 |
IMPACT laba | 0.80 (0.76–0.85) | 0.103 | 0.133 |
IMPACTcore-APACHE II | 0.84 (0.79–0.88) | 0.915 | 0.117 |
IMPACText-APACHE II | 0.84 (0.79–0.88) | 0.366 | 0.119 |
IMPACTlab-APACHE II | 0.84 (0.80–0.88) | 0.727 | 0.119 |
Validation sample (n=450) | |||
APACHE IIa | 0.81 (0.76–0.86) | 0.315 | 0.142 |
IMAPCT corea | 0.81 (0.77–0.86) | 0.063 | 0.143 |
IMPACT extendeda | 0.81 (0.76–0.86) | 0.026 | 0.144 |
IMPACT laba | 0.82 (0.77–0.86) | 0.441 | 0.138 |
IMPACTcore-APACHE II | 0.84 (0.80–0.89) | 0.690 | 0.125 |
IMPACText-APACHE II | 0.84 (0.80–0.89) | 0.515 | 0.123 |
IMPACTlab-APACHE II | 0.85 (0.81–0.89) | 0.198 | 0.123 |
The predicted risk of 6-month mortality using the new models can be calculated by the equation: 1/(1+e-logit), where the logit is defined as:
logitIMPACTcore-APACHE II=−6.004+0.234 * IMPACTcore sumscore+0.160 * APACHE II score
logitIMPACText-APACHE II=−6.265+0.193 * IMPACText sumscore+0.158 * APACHE II score
logitIMPACTlab-APACHE II=−6.516+0.187 * IMPACTlab sumscore+0.149 * APACHE II score
Original models.
AUC, area under the curve; CI, confidence interval; H-L, Hosmer-Lemeshow Ĉ-test (goodness of fit); APACHE, Acute Physiology and Chronic Health Evaluation; IMPACT, International Mission for Prognosis and Analysis of Clinical Trials in TBI.