Clinical Examination for the Prediction of Mortality in the Critically Ill: The Simple Intensive Care Studies-I

Figures

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  Figure 1.. Flow diagram of the SICS-I. CCUS = critical care ultrasonography, SICS = Simple Intensive Care Studies.

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  Figure 2.. Clinical examination findings associated with 90-day mortality. Five of the eight clinical examination findings in our model were independently associated with mortality (i.e., p < 0.015): respiratory rate, systolic blood pressure, central temperature, consciousness, and urine output. The model included all 1,075 patients of whom 298 died. Pseudo R2 = 0.14. Hosmer–Lemeshow goodness of fit test χ2 = 7.43; p = 0.68 (see plot in eFig. 2, Supplemental Digital Content 2, http://links.lww.com/CCM/E746). area under the receiver operating characteristic curves = 0.74 (95% CI, 0.71–0.78). Mottling was scored according to Ait-Oufella et al (19). DBP = diastolic blood pressure, SBP = systolic blood pressure.

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  Figure 3.. The discriminative value of the multivariable models to distinguish 90-day survivors from nonsurvivors using area under the receiver operating characteristic curves (AUC) analyses. Figure legend presents the AUC with 98.5% CI. The DeLong method was used to compare our clinical examination model to three prognostic scores commonly used in the intensive care. APACHE = Acute Physiology and Chronic Health Evaluation, SAPS = Simplified Acute Physiology Score, SOFA = Sequential Organ Failure Assessment.