• Ann Fr Anesth Reanim · Aug 2000

    [Application of the Simplified Acute Physiology Score II (SAPS II) in a medical intensive care unit].

    • A Ghuysen, B Lambermont, and V D'Orio.
    • Service des urgences, centre hospitalier universitaire, Liège, Belgique.
    • Ann Fr Anesth Reanim. 2000 Aug 1; 19 (7): 510-6.

    ObjectiveOur study was to assess the validity of SAPS II (New Simplified Acute Physiology Score) to predict the probability of in hospital mortality, in a cohort of patient admitted to a medical intensive care unit.Study DesignProspective study.Patients And MethodsOut of 467 the 525 patients admitted were included. SAPS score and in hospital mortality prediction were calculated for each of them.ResultsIn this group, SAPS II offered a satisfactory discrimination power with an area under the curve of 0.843. However, calibration showed a lack of fit (chi 2 = 28.5, P < 0.001), with an overall under prediction of mortality (observed versus expected ratio of 1.12).ConclusionThis SAPS II lower predicting accuracy in a specific population and for individual outcome prediction may reduce its interest in clinical decision-making.

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