Austrian validation and customization of the SAPS 3 Admission Score

Abstract

The SAPS 3 Admission Score's general equation can be seen as a framework for addressing the problem of outcome prediction in the general population of adult ICU patients. For benchmarking purposes, region-specific or country-specific equations seem to be necessary in order to compare ICUs on a similar level.

SAPS 3, APACHE IV or GRACE: which score to choose for acute coronary syndrome patients in intensive care units?

“…25,26 Nevertheless, some studies have already suggested that SAPS 3 underestimates in-hospital mortality among general critical care patients, which may be due to the model itself. 27,28 On the other hand, APACHE IV and GRACE presented appropriate calibration and similar accuracy. Choosing between these scores depends on the aim.…”

Eosinopenia, an early marker of increased mortality in critically ill medical patients

“…In another study, Lopes Ferreira et al reported that an increase in SOFA score during the first 48 h in the ICU predicted a mortality rate of at least 50%, while a decreasing SOFA score is associated with a decrease in mortality rates from 50 to 27% [13]. Recently, the Simplified Acute Physiology Score (SAPS) 3 admission score's general equation can be seen as a framework for addressing the issue of outcome prediction in a general ICU adult population [32]. Jensen et al [11] showed that day-by-day procalcitonin changes can identify critically ill patients who are at high risk of ICU mortality.…”

Caution when using prognostic models: A prospective comparison of 3 recent prognostic models

“…SAPS 3 was developed in a heterogeneous population from various countries in Europe, North, South and Central Americas and Australasia, which may have contributed to improve its external validity. Some studies have validated these new versions in other populations [10][11][12][13][14][15][16][17][18][19], but to the best of our knowledge, they have never been compared with each other before. The objective of this study is to assess external validity of the 3 scores and to compare their performance in a Brazilian population.…”