Predicting in-hospital mortality for MIMIC-III patients: A nomogram combined with SOFA score

被引:1
作者
Liu, Ran [1 ]
Liu, Haiwang [2 ]
Li, Ling [1 ]
Wang, Zhixue [1 ]
Li, Yan [1 ]
机构
[1] Chengde Med Univ, Dept Anesthesiol, Affiliated Hosp, Chengde 067000, Hebei, Peoples R China
[2] Chengde Med Univ, Dept Pathol, Affiliated Hosp, Chengde, Hebei, Peoples R China
关键词
in-hospital mortality; intensive care unit; nomogram; prediction tool; CHRONIC HEALTH EVALUATION; ACUTE PHYSIOLOGY; CANCER; SEVERITY; DISEASE; SEPSIS; BURDEN; SYSTEM; APACHE; ICU;
D O I
10.1097/MD.0000000000031251
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Predicting the mortality of patients provides a reference for doctors to judge their physical condition. This study aimed to construct a nomogram to improve the prediction accuracy of patients' mortality. Patients with severe diseases were screened from the Medical Information Mart for Intensive Care (MIMIC) III database; 70% of patients were randomly selected as the training set for the model establishment, while 30% were used as the test set. The least absolute shrinkage and selection operator (LASSO) regression method was used to filter variables and select predictors. A multivariable logistic regression fit was used to determine the association between in-hospital mortality and risk factors and to construct a nomogram. A total of 9276 patients were included. The area under the curve (AUC) for the clinical nomogram based on risk factors selected by LASSO and multivariable logistic regressions were 0.849 (95% confidence interval [CI]: 0.835-0.863) and 0.821 (95% CI: 0.795-0.846) in the training and test sets, respectively. Therefore, this nomogram might help predict the in-hospital mortality of patients admitted to the intensive care unit (ICU).
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页数:7
相关论文
共 37 条
  • [31] van Walraven Carl, 2009, Med Care, V47, P626, DOI 10.1097/MLR.0b013e31819432e5
  • [32] Use of the SOFA score to assess the incidence of organ dysfunction/failure in intensive care units: Results of a multicenter, prospective study
    Vincent, JL
    de Mendonca, A
    Cantraine, F
    Moreno, R
    Takala, J
    Suter, PM
    Sprung, CL
    Colardyn, F
    Blecher, S
    [J]. CRITICAL CARE MEDICINE, 1998, 26 (11) : 1793 - 1800
  • [33] Vincent JL, 1996, INTENS CARE MED, V22, P707, DOI 10.1007/BF01709751
  • [34] Burden of disease of people with epilepsy during an optimized diagnostic Check for trajectory: costs and quality of life
    Wijnen, Ben F. M.
    Schat, Scarlett L.
    de Kinderen, Reina J. A.
    Colon, Albert J.
    Ossenblok, Pauly P. W.
    Evers, Silvia M. A. A.
    [J]. EPILEPSY RESEARCH, 2018, 146 : 87 - 93
  • [35] Prediction of Mortality in Surgical Intensive Care Unit Patients Using Machine Learning Algorithms
    Yun, Kyongsik
    Oh, Jihoon
    Hong, Tae Ho
    Kim, Eun Young
    [J]. FRONTIERS IN MEDICINE, 2021, 8
  • [36] Using machine learning tools to predict outcomes for emergency department intensive care unit patients
    Zhai, Qiangrong
    Lin, Zi
    Ge, Hongxia
    Liang, Yang
    Li, Nan
    Ma, Qingbian
    Ye, Chuyang
    [J]. SCIENTIFIC REPORTS, 2020, 10 (01)
  • [37] In-depth mining of clinical data: the construction of clinical prediction model with R
    Zhou, Zhi-Rui
    Wang, Wei-Wei
    Li, Yan
    Jin, Kai-Rui
    Wang, Xuan-Yi
    Wang, Zi-Wei
    Chen, Yi-Shan
    Wang, Shao-Jia
    Hu, Jing
    Zhang, Hui-Na
    Huang, Po
    Zhao, Guo-Zhen
    Chen, Xing-Xing
    Li, Bo
    Zhang, Tian-Song
    [J]. ANNALS OF TRANSLATIONAL MEDICINE, 2019, 7 (23)