Key result
Cochrane protocol outlines planned evaluation of prognostic models for ICU admission and mortality.
Why the study?
To determine whether prognostic models can predict ICU admission, index hospital mortality, and post-discharge survival in critically ill adults not yet admitted to the ICU.
Can prognostic models accurately predict ICU admission and mortality in critically ill adults not yet admitted to the ICU?
Systematic Review
Can prognostic models accurately predict ICU admission and mortality in critically ill adults not yet admitted to the ICU?
This is a protocol for a Cochrane Review to evaluate the accuracy of prognostic models for predicting ICU admission and mortality in critically ill adults.
Protocol for systematic evaluation of prognostic models underway; leaves open their reliability for ICU triage and mortality prediction in critically ill adults.
OBJECTIVES: This is a protocol for a Cochrane Review (prognosis). The objectives are as follows: To determine whether prognostic models can be used for predicting the occurrence of ICU admission and mortality within the index hospital admission, and post-discharge survival at reported follow-up time points, up to one year, in critically ill adults not yet admitted to the ICU. The objective in PICOTS format is as follows. POPULATION: critically ill adults not yet admitted to the ICU Index prognostic model: available prognostic models with or without external validation Comparator: not applicable Outcomes: ICU admission, ICU and hospital mortality, and post-discharge survival Timing: for ICU admission or transfer, ICU mortality, and hospital mortality outcomes, the timing will be in hospital. For post-discharge survival, the timing will be up to 28 days, 1 to 3 months, 6 months, and 1 year after hospital discharge. SETTING: acute hospital wards and emergency care departments.
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Vieira et al. (2026) conducted a systematic review in Critically ill adults not yet admitted to the ICU. Prognostic models was evaluated on ICU admission, ICU and hospital mortality, and post-discharge survival. This is a protocol for a Cochrane Review evaluating prognostic models for predicting ICU admission and mortality in critically ill adults; no results are reported.
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