ID
28667
Descripción
The MPM II - 24hrs estimates the probabaility of hospital mortality at 24 hours in the intensive care unit. Reference: Lemeshow, S., Teres, D., Klar, J., Avrunin, J. S., Gehlbach, S. H., & Rapoport, J. (1993). Mortality Probability Models (MPM II) based on an international cohort of intensive care unit patients. Jama, 270(20), 2478-2486.
Palabras clave
Versiones (2)
- 6/1/18 6/1/18 -
- 25/1/18 25/1/18 -
Titular de derechos de autor
Lemeshow, S.; Teres, D.; Klar, J.; Avrunin, J. S.; Gehlbach, S. H.; Rapoport, J.
Subido en
25 de enero de 2018
DOI
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Licencia
Creative Commons BY-NC 3.0
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MPM II - 24hrs
MPM II - 24hrs
- StudyEvent: ODM
Descripción
24-h Assessments
Descripción
beta = 1.68790. Coma or deep stupor at 24 h, whether or not due to drug overdose. Determination is made at the 24-h mark; for patients taking a paralyzing muscle relaxant, awakening from anesthesia, or heavily sedated, use best judgment of the level of consciousness prior to sedation; the definition for this variable is the same as for "coma or deep stupor" in the MPM0,t but overdose patients still in coma or deep stupor at 24 h are not an exception to the definition. Coma = No response to any stimulation, no twitching, no movement In extremities, no response to pain or command; generally corresponds to a Glasgow Coma Scale of 3. Deep stupor = Exhibits decorticate or decerebrate posturing; posturing is spontaneous or in response to stimulation or deep pain, not in response to commands; generally corresponds to a Glasgow Coma Scale of 4 or 5.
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0009421
Descripción
beta = 0.72283. Determination applies at any time during the first 24 h.
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0201976
Descripción
beta = 0.49742. Confirmed admission infection or confirmed new infection; determination applies at any time during the first 24h; yes only If cultures, Gram's stains, or roentgenograms confirm a suspected admission infection or new infection that developed in the first 24 h, or there is evidence of gross purulence; laboratory confirmation (including verbal or fax-type confirmation) must be obtained by the 24-h mark for "confirmed" to be checked; if used to confirm presence of infection, radiological or other imaging evidence must be strongly suggestive.
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0009450
Descripción
beta = 0.80845. Determination applies at any time during the first 24 h.
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0199470
Descripción
beta = 0.46677. Determination applies at any time during the first 24 h; Po2 values in the operating room and recovery room should not be considered; does not count transient drop during tracheal suctioning; a sustained drop in pulse oximetry <90% is acceptable evidence of low Po2; record as yes regardless of fraction of inspired oxygen (Fio2).
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0391840
Descripción
beta = 0.55352. Determination applies at any time during the first 24 h.
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0033707
Descripción
beta = 0.82286. Determination applies to any 8-h period during the first 24 h.
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C1287298
Descripción
beta = 0.71628. Continuous intravenous therapy for 1 h or more; determination applies at any time during the first 24 h; vasoactive drugs include the following: (1) any dose of metaraminol bitartrate, epinephrine, norepinephrine bitartrate, dobutamine, phenylephrine hydrochlorlde, or amrinone; (2) naloxone hydrochloride if used to elevate blood pressure; and (3) dopamine hydrochloride only if >5 μg/kg per min.
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0597639
Descripción
Probabilitiy of hospital mortality
Descripción
beta0 24 hrs (Constant) = -5.64592. 1. Compute the logit g(x), defined as gi(x)=ßo+ß1x1+ß2x2+...+ßkxk, where ß0 is the constant and ßixi is the estimated coefficient for the ith variable times the value of the ith variable, with i taking on the values from 1 to k, and k being the number of variables in the model. 2. Transform the logit into a probability through the following calculation: Pr(hospital mortality)=[e^g(x) / 1 + e^g(x)].
Tipo de datos
float
Alias
- UMLS CUI [1]
- C0220880
Similar models
MPM II - 24hrs
- StudyEvent: ODM