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Table 4 Quality criteria for the considered scoring systems in the development dataset (TR-DGU 2010 and 2011), and for RISC II in the validation dataset (TR-DGU 2012)

From: Update of the trauma risk adjustment model of the TraumaRegister DGU™: the Revised Injury Severity Classification, version II

 

Discrimination

Precision

Calibration

AUC of ROC curve (95% CI)

observed and predicted mortality

HL goodness-of-fit statistic

All patients, development dataset (n = 30,866)

Observed mortality

 

11.5%

 

RISC II with 20% missing values per variable

0.943 (0.939-0.946)

11.4%

55.2

RISC II with all available data

0.947 (0.944-0.951)

11.6%

55.3

Patients with RISC, development dataset (n = 26,041)

Observed mortality

 

11.4%

 

RISC II

0.947 (0.943-0.951)

11.6%

50.8

RISC

0.934 (0.929-0.938)

13.5%

233.8

Patients with TRISS, development dataset (n = 17,411)

Observed mortality

 

10.7%

 

RISC II

0.953 (0,949-0,957)

11.0%

38.3

RISC

0.939 (0.933-0.944)

12.9%

178.6

TRISS

0.917 (0.911-0.924)

13.5%

554.4

NISS

0.849 (0.839-0.858)

  

ISS

0.821 (0.811-0.831)

  

All patients, validation dataset (n = 21,918)

Observed mortality

 

10.9%

 

RISC II

0.951 (0.947-0.954)

11.3%

50.3

  1. The reduced number of patients in the comparative analysis is due to the availability of the RISC and the TRISS score. AUC, area under the curve; ISS, Injury Severity Score; HL, Hosmer-Lemeshow; NISS, New Injury Severity Score; RISC (II), Revised Injury Severity Classification (II); ROC, receiver operating characteristic; TR-DGU, TraumaRegister DGU of the German Trauma Society; TRISS, Trauma and Injury Severity Score.