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Diagnostic accuracy of ePOS score in predicting DNr labeling after ICU admission:A prospective observational study(ePOS-DNr)

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Journal of Intensive Medicine 2024年第2期4卷 216-221页

作者： Omar E.ramadan Ahmed F.Mady Mohammed A.Al-Odat Ahmed N.Balshi Ahmed W.Aletreby Taisy J.Stephen Sheena r.Diolaso jennif.r q.gano Waleed Th.Aletreby Department of Critical Care King Saud Medical CityRiyadhSaudi Arabia Anesthesia Department Faculty of MedicineAin Shams UniversityCairoEgypt Anesthesia Department Faculty of MedicineTanta UniversityTantaEgypt Faculty of Medicine Alexandria UniversityAlexandriaEgypt Nursing Department King Saud Medical CityRiyadhSaudi Arabia

Background resuscitation can sometimes be futile and making a do-not-resuscitate(DNr)decision is in the best interest of the *** electronic poor outcome screening(ePOS)score was developed to predict 6-month poor outcomes of critically ill *** explored the diagnostic accuracy of the ePOS score in predicting DNr decisions in the intensive care unit(ICU).Methods This study was conducted at the ICU of a tertiary referral hospital in Saudi Arabia between March and May ***,we calculated ePOS scores for all eligible consecutive admissions after 48 h in the ICU and recorded the DNr *** ability of the score to predict DNr was explored using logistic ***'s ideal cut-off value was calculated using the DeLong method,and different diagnostic accuracy measures were generated with corresponding 95%confidence intervals(CIs).results We enrolled 857 patients,125 received a DNr order and 732 did *** average ePOS score of DNr and non-DNr patients was 28.2±10.7 and 15.2±9.7,*** score,as a predictor of DNr order,had an area under receiver operator characteristic(AUrOC)curve of 81.8%(95%CI:79.0 to 84.3,P17 was associated with a sensitivity of 87.2(95%CI:80.0 to 92.5,Predictive value of 29.2(95%CI:24.6 to 33.8,Predictive value of 96.7(95%CI:95.1 to 98.3,Pratio 12.1(95%CI:7.0 to 20.8,Pre performed well as a diagnostic test for patients who will be labeled as DNr during their ICU stay.A cut-off score>17 may help guide clinical decisions to withhold or commence resuscitative measures.

关键词： Do-not-resuscitate(DNr) resuscitation Intensive care unit(ICU) Diagnostic accuracy Sensitivity Specificity

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