SPRINT-Score: Erstellung eines neuen klinischen Scores zur Vorhersage der Überlebenswahrscheinlichkeit von kritisch kranken Patienten zum Zeitpunkt der Aufnahme auf die Intensivstation
This study describes the creation and evaluation of the new clinical SPRINT- score for predicting the probability of survival of critically ill patients at the time of admission to the intensive care unit. A case-control study is used to retrospectively identify clinical measurements and information about pre-existing illnesses of patients from the Aachen Critical Care Trials (ACCT). The information should be quickly available for the physician after the patient is admitted. With help of these
... arameters, the SPRINT-score is created by binary logistic regression. The result is a percentage prediction of the probability of survival and followed by a comparison with the observed data. The power of the SPRINT- score is the prediction of surviving patients. In contrast, the death of a patient can only be estimated moderately well. The established and similarly structured APACHE-II-score is superior to the SPRINT-score according to the predicting outcomes found in the literature. It is worth mentioning that the existing APACHE- II data of the ACCT describe the patient cases worse in comparison to the new created SPRINT-score. Further studies with an independent patient population can expose a more objective comparison of the two scores. Limiting factors in this study are missing and inaccurate measurement data. In addition, the SPRINT-score is methodologically inferior to the APACHE-II-score due to the study design and the lower validity of the patient data.