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February 12, 2026SHILAP Revista de lepidopterologíaOpen Access

Development and validation of a prediction model for in-hospital mortality in intensive care unit patients with cirrhosis and sepsis: a multicentre retrospective cohort study

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Authors

ZXZhikun XuQYQinhua YangDPDongting Peng

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Overview

A multicentre retrospective cohort study develops and validates a prediction model for in-hospital mortality in ICU patients, highlighting its clinical utility.

Key Points

  • To develop and validate a prediction model for estimating in-hospital mortality in ICU patients with cirrhosis and sepsis.
  • Data sourced from MIMIC-IV, eICU-CRD, and SZPH-ICU databases.
  • Training cohort divided chronologically, with separate temporal validation.
  • Used LASSO regression for variable selection and logistic regression for model building.
  • Model performance evaluated using AUROC, Brier score, and calibration plots.
  • Developed a web-based calculator for clinical use.
  • In-hospital mortality rates were 24.0% in the training cohort and 35.9% in the temporal validation cohort.
  • External validation showed 25.9% mortality in eICU-CRD and 38.2% in SZPH-ICU.
  • The final model included 13 predictors related to clinical status.
  • Achieved AUROC values of 0.822 and 0.810 for training and temporal validation cohorts respectively.
  • Outperformed existing prognostic scores for predicting mortality.

Cite This Study

Xu et al. (2026) studied this question.

synapsesocial.com/papers/698d6d695be6419ac0d524d2https://doi.org/10.3389/fmed.2026.1759988
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