Table 4.
Mortality | ICU admission | High treatment priority | |
---|---|---|---|
Models including clinical information readily available at ED admission | |||
Net reclassification improvement (NRI) | 0.11 (SE 0.03), p = 0.00004 | 0.06 (SE 0.02), p = 0.01345 | 0.02 (SE 0.01), p = 0.00572 |
Integrated discrimination improvement (IDI) | 0.04 (SE 0.01), p = 0.0001 | 0.01 (SE 0.01), p = 0.0001 | 0.02 (SE 0.01), p = 0.0001 |
Models including full clinical information available at ED discharge | |||
Net reclassification improvement (NRI) | 0.09 (SE 0.02), p = 0.0003 | 0.08 (SE 0.02), p = 0.0001 | 0.02 (SE 0.01), p = 0.0072 |
Integrated discrimination improvement (IDI) | 0.04 (SE 0.01), p = 0.0001 | 0.01 (SE 0.01), p = 0.00004 | 0.02 (SE 0.01), p = 0.0001 |
Models including information from initial triage scores | |||
Net reclassification improvement (NRI) | 0.23 (SE 0.03), p = 0.0001 | 0.10 (SE 0.02), p = 0.0001 | 0.06 (SE 0.01), p = 0.0001 |
Integrated discrimination improvement (IDI) | 0.05 (SE 0.01), p = 0.0001 | 0.02 (SE 0.01), p = 0.0001 | 0.01 (SE 0.01), p = 0.0001 |
Initial clinical model includes age, gender, main presenting symptom and vital signs (i.e., heart rate, respiratory rate, blood pressure, temperature, consciousness); full clinical model includes age, gender, comorbidities, main presenting symptom, main diagnosis and vital signs; multimarker model includes ProADM, procalcitonin, copeptin; p value refers to comparison of combined model with the clinical model
ProADM pro-adrenomedullin, ICU intensive care unit, ED emergency department, SE standard error