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

被引:2
|
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).
引用
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页数:7
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