Table 3.
Performance of Comorbidity Measures in Predicting Mortality, Indicated by c-Statistic
| Variables | 30-d Mortality, c-Statistic (95% CI) | In-Hospital Mortality, c-Statistic (95% CI) | 1-y Mortality, c-Statistic (95% CI) |
|---|---|---|---|
| Model with demographics | 0.653 (0.651–0.655) | 0.610 (0.607–0.614) | 0.664 (0.663–0.664) |
| + S-Elixhauser summary score* | 0.705 (0.703–0.707) | 0.654 (0.651–0.657) | 0.743 (0.741–0.744) |
| + Elixhauser comorbidity indicator (38 individual comorbidities )* | 0.711 (0.709–0.713) | 0.658 (0.655–0.661) | 0.748 (0.747–0.749) |
| + AHRQ Elixhauser summary score* | 0.688 (0686–0.690) | 0.642 (0.638–0.645) | 0.719 (0.718–0.721) |
| + Charlson comorbidity indicator (17 individual comorbidities)* | 0.696 (0.694–0.698) | 0.641 (0.638–0.644) | 0.730 (0.729–0.731) |
| + Charlson summary score* | 0.690 (0.688–0.693) | 0.638 (0.634–0.641) | 0.726 (0.724–0.727) |
AHRQ = Agency for Healthcare Research and Quality; S-Elixhauser = summary Elixhauser.
Model with S-Elixhauser score reflects internal validation in the population in which it was derived, whereas all of the other models with Charlson or Elixhauser scores reflect external validation.