Publication Date: 18 Apr 2008
Citation: Clinical Medicine: Circulatory, Respiratory and Pulmonary Medicine 2008:2 19-25
Objective: To evaluate the performance of APR-DRG (All Patient Refined—Diagnosis Related Group) Risk of Mortality (ROM) score as a mortality risk adjustor in the intensive care unit (ICU).
Design: Retrospective analysis of hospital mortality.
Setting: Medical ICU in a university hospital located in metropolitan New York.
Patients: 1213 patients admitted between February 2004 and March 2006.
Main results: Mortality rate correlated significantly with increasing APR-DRG ROM scores (p 0.0001). Multiple logistic regression analysis demonstrated that, after adjusting for patient age and disease group, APR-DRG ROM was significantly associated with mortality risk in patients, with a one unit increase in APR-DRG ROM associated with a 3-fold increase in mortality.
Conclusions: APR-DRG ROM correlates closely with ICU mortality. Already available for many hospitalized patients around the world, it may provide a readily available means for severity-adjustment when physiologic scoring is not available.
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