Key result
Evaluation of 22 clinical risk calculators for hospital admission revealed that only 1/22 met standards for reproducibility and 1/22 for measurement of effect on clinical use.
Why the study?
Clinical prediction and decision tools are prevalent, but their appropriate use and validity, particularly for guiding complex hospitalization decisions, remain unclear.
Population
22 clinical calculators informing hospital admission recommendations for 9 discrete medical conditions
Comparison
Application of the Wasson-Laupacis framework of methodologic standards
Design
Systematic methodologic evaluation and assessment of applicability
Authors
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Most admission risk calculators lack validation; challenges routine use and extends need for prospective testing before adoption.
Systematic Review (n=22)
Clinical risk calculators used for hospital admission decisions often lack rigorous methodologic validation and fail to report key population details like race/ethnicity and social determinants of health.
Soleimanpour et al. (2022) conducted a systematic review in Hospital admission decision-making (n=22). Clinical risk calculators was evaluated on Methodologic quality based on the Wasson-Laupacis framework. Evaluation of 22 clinical risk calculators for hospital admission revealed that only 1/22 met standards for reproducibility and 1/22 for measurement of effect on clinical use.
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