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ICU Scores: Mortality Prediction Models

Estimating prognosis is potentially useful as a measure of ICU performance and as a guide for the clinical care of individual patients. In this study, mortality prediction models (MPMs) for patients in an adult general medical-surgical ICU were derived from data gathered at ICU admission and after 24 and 48 h of ICU care. A predictive model was developed which incorporated a sequence of probabilities collected over time in the ICU. The results of this study suggest that using serial observations may enhance substantially the usefulness of the MPM as a vehicle for helping families anticipate the patients' likely outcome:

Refining intensive care unit outcome prediction by using changing probabilities of mortality.
Lemeshow S, Teres D, Avrunin JS, Gage RW.
Crit Care Med. 1988 May;16(5):470-7.
Division of Public Health, School of Health Sciences, University of Massachusetts, Amherst.

Mortality Prediction Models-Over Time
Predicted Death Rate (MPM 0)
%
Predicted Death Rate (MPM 24)
%
Predicted Death Rate (MPM 48)
%
MPM (Logit)
Predicted Mortality Rate

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