February 22, 2006Critical Care Medicine
Mortality predictions in the intensive care unit: Comparing physicians with scoring systems*
Why the study?
Do ICU physicians predict mortality more accurately than scoring systems in critically ill adults?
Population
Critically ill adults in the ICU (12 observational studies included in systematic review)
Comparison
Physician predictions of ICU or hospital mortality vs Objective scoring systems, computer models, or…
Design
Systematic_review
Follow-up
ICU or hospital stay
Authors
Discussion
Loading...
Member takes
Implication
Physicians' superior early mortality predictions should inform ICU decisions; reinforces clinical judgment over scoring systems in systematic evidence.
Structured PICO
Do ICU physicians predict mortality more accurately than scoring systems in critically ill adults?
P
Population
Critically ill adults in the ICU (12 observational studies included in systematic review)
I
Intervention
Physician predictions of ICU or hospital mortality
C
Comparator
Objective scoring systems, computer models, or prediction rules
O
Outcome
Accuracy of ICU or hospital mortality prediction
ICU physicians are more accurate than scoring systems at predicting mortality in the first 24 hours of admission, though both have only moderate accuracy.
Cite This Study
Sinuff et al. (2006) studied this question.