Perioperative medicine & outcomes

Performance and usability of pre‐operative prediction models for 30‐day peri‐operative mortality risk: a systematic review

AnaesthesiaPublished Systematic review

Authors' conclusion

The SORT showed the best combination of predictive performance and clinical usability and has been externally validated in several heterogeneous cohorts.

Study context

Population
Non-cardiac surgical cohorts; studies of pre-operative prediction models for 30-day mortality (PubMed and Embase to December 2022)15 studies · 10 models
Comparison
Pre-operative prediction models for 30-day mortality
Outcome
Predictive performance (discrimination and calibration) and clinical usability of models predicting 30-day postoperative mortality
Follow-up
30-day
Methodological detailsRisk of bias assessed with a tool for risk of bias and applicability of prediction model studies
  • Risk of bias assessed with a tool for risk of bias and applicability of prediction model studies

Pooled result

As reported in the abstract

Predictive performance and clinical usability

Discrimination (c-statistic), lowest: MySurgeryRisk

0.82

Discrimination (c-statistic), highest: extreme gradient boosting machine learning model

0.96

Studies reporting calibration

6

Original publication

Performance and usability of pre‐operative prediction models for 30‐day peri‐operative mortality risk: a systematic review. Anaesthesia. Published 23 February 2023. doi:10.1111/anae.15988

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