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. 2015 Jun 8;187(10):725–733. doi: 10.1503/cmaj.150209

Table 4:

Summary of point-based models for predicting risk of death among hospital patients

Model/study N (derivation) Description of derivation cohort (recruitment period) Cohort; C statistic
Derivation External validation
Silver Code5 5 457 Patients ≥ 75 yr admitted to medical ward from emergency department (2005) 0.66
SAFES6 870 Patients ≥ 75 yr admitted to medical ward from emergency department (2001–2002) 0.72
CARING7 435 All patients admitted to medical service (1999) 0.82
BISEP8 525 Patients ≥ 70 yr admitted to general medical service (1989–1990) 0.83 0.739
SUPPORT10 9 105 Patients ≥ 18 yr with high-risk admission diagnoses (1989–1994)
Levine et al.11 6 534 Patients ≥ 65 yr discharged from general medical service (1997–2001) 0.70
MPI12 838 Patients ≥ 65 yr admitted to geriatric unit (2004) 0.75 0.80–0.8313
0.8015
0.7516
0.6417
0.7718
HELP14 1 266 Patients ≥ 80 yr admitted ≥ 2 d for nonelective reasons (1993–1994) 0.74
Walter et al.19 1 495 Patients ≥ 70 yr discharged from general medical service (1993–1997) 0.75 0.729
HOMR1 319 531 All adults admitted to nonpsychiatric hospital services (2011) 0.92 0.89–0.92

Note: BISEP = Burden of Illness Score for Elderly Persons; CARING = cancer, admissions ≥ 2, residence in a nursing home, intensive care unit admission with multiorgan failure, ≥ 2 noncancer hospice guidelines; HELP = Hospitalized Elderly Longitudinal Project; HOMR = Hospital-patient One-year Mortality Risk; MPI = Multidimensional Prognostic Index; SAFES = Sujet Âgé Fragile – Évaluation Suivi (Frail Elderly Subject – Assessment Follow-up); SUPPORT = Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments.