Anzeige
Erschienen in:
01.03.2004 | Original
Comparison of three severity scores for critically ill cancer patients
Erschienen in: Intensive Care Medicine | Ausgabe 3/2004
Einloggen, um Zugang zu erhaltenAbstract
Objective
To compare three scoring systems, the Acute Physiology and Chronic Health Evaluation (APACHE) II, the Simplified Acute Physiology Score (SAPS) II and a modified Mortality Probability Model II (ICU cancer mortality model, ICMM) for their prognostic value for mortality during hospital stay in a group of cancer patients admitted to a medical ICU.
Design
Prospective cohort study.
Setting
Medical ICU of a tertiary care hospital.
Patients
Two hundred forty-two consecutive cancer patients admitted to the ICU.
Measurements and results
Variables included in APACHE II, SAPS II and the ICMM scores as well as demographic data were assessed during the first 24 h of stay in the ICU. Hospital mortality was measured; it was 44%. Calibration for all three scoring systems was acceptable, SAPS II yielded a significantly superior discrimination between survivors and non-survivors. The areas under the receiver operating characteristic curves were 0.776 for APACHE II, 0.825 for SAPS II and 0.698 for the ICMM.
Conclusion
The SAPS II was superior to APACHE II and ICMM. The newly developed ICMM does not improve mortality prediction in critically ill cancer patients.