Key result
The Stability and Workload Index for Transfer score predicted unplanned ICU readmission or unexpected death with an AUC of 0.75 (95% CI 0.70-0.80), outperforming the APACHE III score.
Why the study?
Does the Stability and Workload Index for Transfer score predict unplanned ICU readmission or unexpected death better than the APACHE III score in patients requiring >24 hrs of ICU care?
Population
Consecutive patients requiring >24 hrs of ICU care. Derivation cohort of 1,131 medical ICU patients.
Comparison
Stability and Workload Index for Transfer score vs Day of discharge Acute Physiology and Chronic…
Design
Cohort
Authors
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SWIFT may aid ICU discharge risk assessment; hypothesis-generating pending prospective validation versus APACHE III.
Cohort (n=1,131)
Yes
Does the Stability and Workload Index for Transfer score predict unplanned ICU readmission or unexpected death better than the APACHE III score in patients requiring >24 hrs of ICU care?
Effect estimate: AUC 0.75 (95% CI 0.70-0.80)
The Stability and Workload Index for Transfer score acceptably predicts unplanned ICU readmission or unexpected death following ICU dismissal, outperforming the APACHE III score.
Gajic et al. (2008) conducted a cohort in Intensive care unit patients (n=1,131). Stability and Workload Index for Transfer (SWIFT) score vs. Acute Physiology and Chronic Health Evaluation (APACHE) III score was evaluated on Unplanned ICU readmission or unexpected death following ICU dismissal (AUC 0.75, 95% CI 0.70-0.80). The Stability and Workload Index for Transfer score predicted unplanned ICU readmission or unexpected death with an AUC of 0.75 (95% CI 0.70-0.80), outperforming the APACHE III score.
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