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September 16, 2008PLoS ONEOpen Access

Estimating Long-Term Survival of Critically Ill Patients: The PREDICT Model

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Why the study?

Can a prognostic model using baseline characteristics and early intensive care therapy intensity estimate long-term survival in critically ill patients?

Population

11,930 critically ill patients who survived more than 5 days in a university teaching hospital in Western…

Design

Cohort

Follow-up

up to 15 years

Authors

KHKwok M. HoSt John of God Subiaco HospitalMKMatthew KnuimanPreventive CardiologyJFJudith FinnCurtin University

Discussion

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Overview

Supports age- and comorbidity-driven long-term prognostication after ICU admission; leaves open external validation before clinical adoption.

Structured PICO

Can a prognostic model using baseline characteristics and early intensive care therapy intensity estimate long-term survival in critically ill patients?

P
Population
11,930 critically ill patients who survived more than 5 days in a university teaching hospital in Western Australia.
I
Intervention
PREDICT prognostic model (incorporating age, gender, co-morbidities, APACHE II score, and days of vasopressor/inotropic support, mechanical ventilation, and hemofiltration)
O
Outcome
Long-term survival up to 15 yearshard clinical

A prognostic model incorporating age, comorbidities, and acute illness severity can reliably estimate long-term survival up to 15 years in critically ill patients.

Cite This Study

Ho et al. (2008) studied this question.

synapsesocial.com/papers/6a092cbac64d0aaf94b6232fhttps://doi.org/10.1371/journal.pone.0003226
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The SUPPORT Prognostic Model: Objective Estimates of Survival for Seriously Ill Hospitalized Adults1995 · 595 citations
  2. 2Mortality predictions in the intensive care unit: Comparing physicians with scoring systems*2006 · 263 citations
  3. 3Combining multiple comorbidities with Acute Physiology Score to predict hospital mortality of critically ill patients: a linked data cohort study2007 · 35 citations
  4. 4Commentary: Prognostic models: clinically useful or quickly forgotten?1995 · 374 citations
  5. 5Determinants in Canadian Health Care Workers of the Decision to Withdraw Life Support From the Critically Ill1995 · 374 citations