Assessment of disease-severity scoring systems for patients with sepsis in general internal medicine departments

Table 3 The discrimination (AUC) and calibration (Hosmer-Lemeshow goodness-of-fit) power of the examined scoring systems in different intervals of time

		1-day mortality	5-day mortality	10-day mortality	30-day mortality	60-day mortality	28-day in-hospital mortality	Overall in-hospital mortality
MEDS	AUC (95% CI)	0.79 (0.73-0.85)	0.77 (0.73-0.81)	0.79 (0.76-0.83)	0.75 (0.71-0.78)	0.74 (0.71-0.77)	0.75 (0.71-0.78)	0.73 (0.70-0.77)
	HL - P value	0.19	0.0001	0.06	0.02	0.02	0.02	0.29
MEWS	AUC (95% CI)	0.83 (0.77-0.88)	0.73 (0.68-0.78)	0.72 (0.68-0.77)	0.67 (0.63-0.71)	0.65 (0.62-0.69)	0.70 (0.66-0.74)	0.69 (0.65-0.73)
	HL - P value	0.57	0.31	0.28	0.86	0.73	0.43	0.32
REMS	AUC (95% CI)	0.87 (0.83-0.92)	0.80 (0.76-0.84)	0.80 (0.77-0.84)	0.76 (0.72-0.79)	0.74 (0.71-0.77)	0.79 (0.75-0.81)	0.77 (0.73-0.80)
	HL - P value	0.85	0.29	0.44	0.21	0.22	0.26	0.75
SCS	AUC (95% CI)	0.85 (0.80-0.90)	0.79 (0.76-0.83)	0.80 (0.77-0.84)	0.77 (0.74-0.81)	0.76 (0.73-0.79)	0.79 (0.75-0.82)	0.77 (0.74-0.80)
	HL - P value	0.49	0.14	0.68	0.54	0.79	0.16	0.71

AUC, area under the curve; CI, confidence interval; HL, Hosmer-Lemeshow; MEDS, mortality in emergency medicine sepsis score; MEWS, modified early warning score; REMS, rapid emergency medicine score; SCS, simple clinical score.

ISSN: 1364-8535