March 15, 2006

Acute Physiology and Chronic Health Evaluation (APACHE) IV: Hospital mortality assessment for today’s critically ill patients*

Structured PICO

Does the APACHE IV model accurately predict hospital mortality in critically ill patients?

Population

Critically ill patients in U.S. ICUs

Intervention

APACHE IV predictive model

Outcome

Hospital mortality prediction accuracy (discrimination and calibration)

APACHE IV provides accurate hospital mortality predictions with good discrimination and calibration, making it useful for benchmarking performance in U.S. ICUs.

Abstract

APACHE IV predictions of hospital mortality have good discrimination and calibration and should be useful for benchmarking performance in U.S. ICUs. The accuracy of predictive models is dynamic and should be periodically retested. When accuracy deteriorates they should be revised and updated.

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Cite This Study

Zimmerman et al. (Wed,) studied this question.

synapsesocial.com/papers/69d56c5e75589c71d767cdd7 https://doi.org/https://doi.org/10.1097/01.ccm.0000215112.84523.f0

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