Perioperative medicine & outcomes

Effect of mortality prediction models on resource use benchmarking of intensive care units

J Crit CarePublished Retrospective cohort study

Authors' conclusion

SRURs provide a robust tool for benchmarking resource use within and between ICUs.

Study context

Population
ICU admissions
Participants
68,914 admissions
Exposure
Finnish Intensive Care Consortium (FICC) model vs SAPS-II model for SRUR benchmarking
Outcome
Standardized resource use ratios (SRURs) by mortality prediction model
Methodological detailsregistry-based comparison of mortality prediction models
  • Registry-based comparison of mortality prediction models

Main finding

As reported in the abstract

SRURs
  • Standardized resource use ratios (SRURs) practically identical and consistent with both models
  • FICC predicted mortality risk accurately; SAPS-II grossly overestimated risk of death

Observational data: associations, not effects.

Further findings

Resource use per survivor by decile of predicted mortality

Increased from 1 length of stay (LOS) day and ≈50 Therapeutic Intervention Scoring System (TISS) points in first decile to 10 LOS-days and 450 TISS in tenth decile, both models

Original publication

Effect of mortality prediction models on resource use benchmarking of intensive care units. J Crit Care. Published 20 April 2024. doi:10.1016/j.jcrc.2024.154814

Composed by AI from the published abstract and checked against it. How Briefs are made →

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