Prediction of pediatric death in the year after hospitalization: a population-level retrospective cohort study.
Prediction of pediatric death in the year after hospitalization: a population-level retrospective cohort study.
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住院后一年的小儿死亡的预测：一项人群回顾性队列研究。
DOI：
10.1089/jpm.2008.0206
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发表时间：
2009-02
影响因子：
2.8
通讯作者：
Silber JH
中科院分区：
文献类型：
--
作者：
Feudtner C;Hexem KR;Shabbout M;Feinstein JA;Sochalski J;Silber JH
The study of how the quality of pediatric end of life care varies across systems of healthcare delivery and financing is hampered by lack of methods to adjust for the probability of death in populations of ill children. To develop a prognostication model using administratively available data to predict the probability of in-hospital and 1-year-post-discharge death. Retrospective cohort study of 0-21 year old patients admitted to Pennsylvania hospitals from 1994-2001 and followed for 1-year post-discharge mortality, assessing logistic regression models ability to predict in-hospital and 1-year-post-discharge-deaths. Among 678,365 subjects there were 2,202 deaths that occurred during the hospitalization (0.32% of cohort) and 860 deaths that occurred ≤ 365 days after hospital discharge (0.13% of cohort). The model predicting hospitalization deaths exhibited a c-statistic of 0.91, with sensitivity of 65.9% and specificity of 92.9% at the 99th percentile cutpoint; while the model predicting 1-year-post-discharge-deaths exhibited a c-statistic of 0.92, with sensitivity of 56.1% and specificity of 98.4% at the 99th percentile cutpoint. Population-level mortality prognostication of hospitalized children using administratively available data is feasible, assisting the comparison of healthcare services delivered to children with the highest probability of dying during and after a hospital admission.
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影响因子：
--
作者：
Levine, LJ;Schwarz, DF;Feudtner, C
通讯作者：
Feudtner, C
影响因子：
8
作者：
Feudtner, C;Christakis, DA;Koepsell, TD
通讯作者：
Koepsell, TD
影响因子：
11.8
作者：
Zaoutis, TE;Argon, J;Feudtner, C
通讯作者：
Feudtner, C
影响因子：
8
作者：
Feudtner, Chris;Levin, James E.;Hall, Matt
通讯作者：
Hall, Matt
DOI：
10.1097/01.pcc.0000138557.31831.65
发表时间：
2004-09-01
期刊：
Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
影响因子：
--
作者：
Slater, Anthony;Shann, Frank
通讯作者：
Shann, Frank