• Medicina intensiva · Jan 2015

    The modified Brussels scale as a predictor of mortality in the Intensive Care Unit.

    • L D Sánchez Velázquez, A Carrillo-Muñoz, and M A Díaz-Riveros.
    • Unidad de Cuidados Intensivos Respiratorios, Servicio de Neumología y Cirugía de Tórax, Hospital General de México, México, D. F., México. Electronic address: lds1962@hotmail.com.
    • Med Intensiva. 2015 Jan 1; 39 (1): 20-5.

    PurposeTo compare discrimination and calibration of the modified Brussels score with the Simplified Acute Physiology Score version 3 (SAPS-3) in predicting mortality.DesignA prospective cohort study was carried out.SettingThe Respiratory Intensive Care Unit (RICU) of Mexico General Hospital.PatientsA total of 251 patients out of 285 admissions to the RICU in 2012 were included. The mean age was 48.4±17.1 years, and 132 of the patients were men (52.8%).InterventionsNone.Variables Of InterestDemographic data, SAPS-3 score upon admission and the modified Brussels score on the day 1 of stay in the RICU.ResultsOn day 1, the modified Brussels and SAPS-3 scores were 4.7 ± 3.8 and 54.7 ± 17.8, respectively. Areas under the ROC curve for the modified Brussels score on day 1 and the SAPS-3 were 0.837 ± 0.025 (95% CI 0.787-0.887) and 0.813 ± 0.027 (95% CI 0.761-0.865), respectively. Hosmer-Lemeshow goodness-of-fit values were 5,885 (P=.660) and 4,026 (P=.855), respectively.ConclusionsThe modified Brussels score on day 1 offers excellent discrimination and calibration in predicting mortality in the RICU, comparable to that of the SAPS-3.Copyright © 2013 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

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