Table 1.
APACHE IV | SAPS 3 | MPM0 III | |
---|---|---|---|
Study population | 110,558 | 16,784 | 124,855 |
Study period | January 1, 2002 to December 31, 2003 | October 14 to December 15, 2002 | October 2001 to March 2004 |
Geographic regions | USA | 35 countries, 5 continents | USA |
Number of ICUs | 104 | 303 | 135 |
Number of hospitals | 45 | 281 | 98 |
Variables in the model | 142 | 20 | 16 |
Time of data collection | First 24 hours of ICU admission | ± 1 hour of ICU admission | Within 1 h of ICU admission |
AUC | 0.88 | 0.848 | 0.823 |
HL C statistic | 16.9 | 14.29 | 11.62 (abs 10.94) |
SMR | 0.997 | 1.0 | 1.018 |
Predictor variables | |||
Age | Yes | Yes | Yes |
Length of hospital stay before ICU admission | Yes | Yes | No |
Type of ICU admission | Yes | Yes | Yes |
ICU admission source | 8 | 3 | No |
Chronic co-morbidities | 7 | 6 | 3 |
Resuscitation status | No | No | Yes |
CPR before ICU admission | No | No | Yes |
Reasons for ICU admission/acute diagnosis | 116 | 10 | 5 |
Surgical status at ICU admission | Yes | Yes | No |
Anatomical site of surgery | No | 5 | No |
Acute infection at ICU admission | No | Yes | No |
Vasoactive drug therapy | Yes | Yes | No |
Mechanical ventilation | Yes | Yes | Yes |
Clinical physiologic variables | 6 | 4 | 3 |
Laboratory physiologic variables | 10 | 6 | 0 |
APACHE - Acute Physiology and Chronic Health Evaluation; SAPS - Simplified Acute Physiology Score; MPM - Mortality Probability Model; ICU - intensive care unit; AUC - area under the receiver operating characteristic curve; HL - Hosmer-Lemeshow; SMR - standardized mortality ratio; CPR - cardiopulmonary resuscitation. Source: Afessa B, Gajic O, Keegan MT. Severity of illness and organ failure assessment in adult intensive care units. Crit Care Clin. 2007;23:639-58.