External validation of SAPS II score reported to the Norwegian Intensive Care and Pandemic Registry (NIPaR)

Authors

  • Eirik Alnes Buanes Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway og Norwegian Intensive Care and Pandemic Registry, Haukeland University Hospital, Bergen, Norway
  • Øyvind Bruserud Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway og Norwegian Intensive Care and Pandemic Registry, Haukeland University Hospital, Bergen, Norway
  • Sergio Carracedo Huroz Fagsenter for medisinske kvalitetsregister, Seksjon for forsking og innovasjon, Forskings- og utviklingsavdelinga, Haukeland universitetssjukehus, Helse Bergen HF
  • Andreas Barratt-Due Department of Anesthesia and Intensive Care Medicine, Rikshospitalet, Oslo University Hospital, Oslo, Norway
  • Hans Flaatten Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway og Department of Clinical Medicine, University of Bergen, Norway
  • Reidar Kvåle Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway, Fagsenter for medisinske kvalitetsregister, Seksjon for forsking og innovasjon, Forskings- og utviklingsavdelinga, Haukeland universitetssjukehus, Helse Bergen HF, og Department of Clinical Medicine, University of Bergen, Norway

DOI:

https://doi.org/10.5324/nje.v31i1-2.5618

Abstract

Background: Simplified Acute Physiology Score II (SAPS II) is a mortality prediction model widely used
to compensate for differences between intensive care units (ICU) in benchmarking and research. Accuracy
of SAPS II is sparsely documented. We investigate accuracy by comparing patient journal SAPS II values
with registry SAPS II values in the Norwegian Intensive Care and Pandemic Registry (NIPaR).
Method: NIPaR personnel collected data from the patient journal during visitations to ICUs in ten different
hospitals between 2017 and 2022 while blinded for registry SAPS II data. The patient journal SAPS II values
were subsequently compared with the registry SAPS II values.
Results: Difference of means for SAPS II score between patient journal and registry data was 5.2 points
(95% CI 2.8–7.6; p < 0.001). SAPS II score depended significantly on ICU (p < 0.001) and data origin (p =
0.006), whereas the interaction term for these two variables was not significant.
Conclusion: We find low accuracy of SAPS II score in a registry setting.

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Published

2023-10-20

How to Cite

Buanes, E. A. ., Bruserud, Øyvind ., Huroz, S. C. ., Barratt-Due, A. ., Flaatten, H., & Kvåle, R. . (2023). External validation of SAPS II score reported to the Norwegian Intensive Care and Pandemic Registry (NIPaR). Norsk Epidemiologi, 31(1-2). https://doi.org/10.5324/nje.v31i1-2.5618

Issue

Vol. 31 No. 1-2 (2023): Vol. 31 No. 1-2 (2023): Tema: Medisinske kvalitetsregistere i Norge

Section

Articles

License

Copyright (c) 2023 Eirik Alnes Buanes, Øyvind Bruserud, Sergio Carracedo Huroz

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