Table 3. Validation of VACO Index 30-day COVID-19 mortality estimates using area under the receiver operating characteristic curves.
Cohort | ||||
---|---|---|---|---|
Development | Validation, Early | Validation, Late | Validation, Combined | |
Testing Dates | 3/2/2020–4/15/2020 | 4/16/2020–5/18/2020 | 5/19/2020–7/18/2020 | 4/16/2020–7/18/2020 |
N | 3,681 | 2,151 | 7,491 | 9,642 |
30-day Deaths, n (%) | 480 (13.0) | 253 (11.8) | 403 (5.4) | 656 (6.8) |
Model, AUC (95% CI) | ||||
Age | 0.77 (0.75–0.79) | 0.80 (0.77–0.82) | 0.83 (0.81–0.84) | 0.82 (0.81–0.84) |
Charlson | 0.73 (0.71–0.75) | 0.75 (0.72–0.78) | 0.78 (0.76–0.80) | 0.78 (0.76–0.80) |
Index | 0.79 (0.77–0.81) | 0.81 (0.78–0.83) | 0.84 (0.78–0.86) | 0.84 (0.82–0.85) |
Index Validation in Subgroups, AUC (95% CI) | ||||
Sex | ||||
Male | n/a | 0.80 (0.71–0.83) | 0.83 (0.81–0.84) | 0.83 (0.81–0.84) |
Female | n/a | 0.79 (0.58–1.00) | 0.91 (0.82–0.99) | 0.87 (0.76–0.97) |
Race/Ethnicity | ||||
Black | n/a | 0.79 (0.74–0.82) | 0.81 (0.78–0.84) | 0.81 (0.79–0.84) |
Other | n/a | 0.81 (0.78–0.84) | 0.84 (0.83–0.86) | 0.85 (0.83–0.86) |
Geographic region | ||||
Northeast & West | n/a | 0.81 (0.78–0.85) | 0.82 (0.80–0.86) | 0.84 (0.81–0.86) |
Midwest & Southeast | n/a | 0.79 (0.74–0.83) | 0.84 (0.83–0.86) | 0.83 (0.82–0.84) |
Abbreviations: AUC = Area under receiver operating characteristic curse, CI = confidence interval