Table 7.
ICU Stay: AUC Analysis for APR-DRG Measures and the Queralt Dx Index
| Principal Discharge Diagnosis | APR-DRG Severity | APR-DRG Risk | APR-DRG Severity (Excluding Age*) | APR-DRG Risk (Excluding Age*) | Queralt Dx | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AUC | 95% CI | AUC | 95% CI | AUC | 95% CI | AUC | 95% CI | AUC | 95% CI | ||||||
| All | 0.827 | 0.823 | 0.832 | 0.823 | 0.819 | 0.828 | 0.801 | 0.796 | 0.806 | 0.782 | 0.776 | 0.787 | 0.843 | 0.839 | 0.847 |
| Colon cancer | 0.903 | 0.862 | 0.944 | 0.906 | 0.866 | 0.946 | 0.897 | 0.854 | 0.939 | 0.899 | 0.856 | 0.942 | 0.911 | 0.876 | 0.947 |
| Pancreatic cancer | 0.969 | 0.942 | 0.997 | 0.966 | 0.935 | 0.996 | 0.943 | 0.891 | 0.994 | 0.947 | 0.899 | 0.996 | 0.955 | 0.914 | 0.996 |
| Lung cancer | 0.916 | 0.883 | 0.949 | 0.909 | 0.873 | 0.945 | 0.912 | 0.878 | 0.945 | 0.902 | 0.865 | 0.939 | 0.913 | 0.880 | 0.947 |
| Leukemia | 0.931 | 0.890 | 0.971 | 0.941 | 0.906 | 0.975 | 0.882 | 0.815 | 0.949 | 0.865 | 0.791 | 0.939 | 0.951 | 0.919 | 0.983 |
| AMI | 0.923 | 0.913 | 0.933 | 0.923 | 0.913 | 0.934 | 0.922 | 0.911 | 0.932 | 0.922 | 0.912 | 0.932 | 0.927 | 0.918 | 0.937 |
| Arrhythmia | 0.917 | 0.896 | 0.937 | 0.932 | 0.914 | 0.950 | 0.906 | 0.880 | 0.932 | 0.915 | 0.890 | 0.941 | 0.933 | 0.915 | 0.951 |
| HF | 0.893 | 0.869 | 0.917 | 0.887 | 0.860 | 0.914 | 0.855 | 0.826 | 0.883 | 0.836 | 0.807 | 0.866 | 0.905 | 0.881 | 0.929 |
| CeVD | 0.869 | 0.852 | 0.885 | 0.874 | 0.858 | 0.891 | 0.836 | 0.818 | 0.853 | 0.836 | 0.818 | 0.854 | 0.894 | 0.879 | 0.909 |
| Pneumonia | 0.926 | 0.906 | 0.945 | 0.909 | 0.887 | 0.931 | 0.890 | 0.866 | 0.914 | 0.858 | 0.829 | 0.887 | 0.926 | 0.905 | 0.947 |
| Influenza | 0.932 | 0.902 | 0.961 | 0.919 | 0.886 | 0.951 | 0.883 | 0.837 | 0.928 | 0.860 | 0.816 | 0.905 | 0.947 | 0.924 | 0.969 |
| Acute bronchitis | 0.909 | 0.880 | 0.938 | 0.911 | 0.882 | 0.940 | 0.839 | 0.802 | 0.877 | 0.836 | 0.798 | 0.874 | 0.927 | 0.895 | 0.958 |
| COPD | 0.895 | 0.853 | 0.938 | 0.901 | 0.870 | 0.931 | 0.881 | 0.834 | 0.929 | 0.876 | 0.842 | 0.910 | 0.932 | 0.902 | 0.963 |
| Resp. failure | 0.898 | 0.868 | 0.928 | 0.857 | 0.818 | 0.895 | 0.869 | 0.833 | 0.905 | 0.774 | 0.725 | 0.823 | 0.863 | 0.825 | 0.900 |
Notes: *Age not included as covariate in these regression models in order to prevent overfitting. Results presented as AUC and 95% confidence intervals. All models adjusted for sex, type of admission, center, and age unless stated otherwise. “Queralt Dx” includes principal diagnosis, pre-existing comorbidities, and in-hospital complications.
Abbreviations: AMI, acute myocardial infarction; APR-DRG, All Patients Refined Diagnosis Related Groups; AUC, area under the curve; CeVD, cerebrovascular disease; COPD, chronic obstructive pulmonary disease; HF, heart failure; ICU, intensive care unit.