Validation of Computerized Automatic Calculation of the Sequential Organ Failure Assessment Score
Purpose. To validate the use of a computer program for the automatic calculation of the sequential organ failure assessment (SOFA) score, as compared to the gold standard of manual chart review. Materials and Methods. Adult admissions (age > 18 years) to the medical ICU with a length of stay grea...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Critical Care Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2013/975672 |
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| _version_ | 1832562120547368960 |
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| author | Andrew M. Harrison Hemang Yadav Brian W. Pickering Rodrigo Cartin-Ceba Vitaly Herasevich |
| author_facet | Andrew M. Harrison Hemang Yadav Brian W. Pickering Rodrigo Cartin-Ceba Vitaly Herasevich |
| author_sort | Andrew M. Harrison |
| collection | DOAJ |
| description | Purpose. To validate the use of a computer program for the automatic calculation of the sequential organ failure assessment (SOFA) score, as compared to the gold standard of manual chart review. Materials and Methods. Adult admissions (age > 18 years) to the medical ICU with a length of stay greater than 24 hours were studied in the setting of an academic tertiary referral center. A retrospective cross-sectional analysis was performed using a derivation cohort to compare automatic calculation of the SOFA score to the gold standard of manual chart review. After critical appraisal of sources of disagreement, another analysis was performed using an independent validation cohort. Then, a prospective observational analysis was performed using an implementation of this computer program in AWARE Dashboard, which is an existing real-time patient EMR system for use in the ICU. Results. Good agreement between the manual and automatic SOFA calculations was observed for both the derivation (N=94) and validation (N=268) cohorts: 0.02 ± 2.33 and 0.29 ± 1.75 points, respectively. These results were validated in AWARE (N=60). Conclusion. This EMR-based automatic tool accurately calculates SOFA scores and can facilitate ICU decisions without the need for manual data collection. This tool can also be employed in a real-time electronic environment. |
| format | Article |
| id | doaj-art-98a052a198e84b2985702bb3bf7ed9f4 |
| institution | Kabale University |
| issn | 2090-1305 2090-1313 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Critical Care Research and Practice |
| spelling | doaj-art-98a052a198e84b2985702bb3bf7ed9f42025-02-03T01:23:25ZengWileyCritical Care Research and Practice2090-13052090-13132013-01-01201310.1155/2013/975672975672Validation of Computerized Automatic Calculation of the Sequential Organ Failure Assessment ScoreAndrew M. Harrison0Hemang Yadav1Brian W. Pickering2Rodrigo Cartin-Ceba3Vitaly Herasevich4Medical Scientist Training Program, Mayo Clinic, 200 1st Street SW, Rochester, MN 55905, USADepartment of Medicine, Mayo Clinic, 200 1st Street SW, Rochester, MN 55905, USAMultidisciplinary Epidemiology and Translational Research in Intensive Care (METRIC), Mayo Clinic, 200 1st Street SW, Rochester, MN 55905, USAMultidisciplinary Epidemiology and Translational Research in Intensive Care (METRIC), Mayo Clinic, 200 1st Street SW, Rochester, MN 55905, USAMultidisciplinary Epidemiology and Translational Research in Intensive Care (METRIC), Mayo Clinic, 200 1st Street SW, Rochester, MN 55905, USAPurpose. To validate the use of a computer program for the automatic calculation of the sequential organ failure assessment (SOFA) score, as compared to the gold standard of manual chart review. Materials and Methods. Adult admissions (age > 18 years) to the medical ICU with a length of stay greater than 24 hours were studied in the setting of an academic tertiary referral center. A retrospective cross-sectional analysis was performed using a derivation cohort to compare automatic calculation of the SOFA score to the gold standard of manual chart review. After critical appraisal of sources of disagreement, another analysis was performed using an independent validation cohort. Then, a prospective observational analysis was performed using an implementation of this computer program in AWARE Dashboard, which is an existing real-time patient EMR system for use in the ICU. Results. Good agreement between the manual and automatic SOFA calculations was observed for both the derivation (N=94) and validation (N=268) cohorts: 0.02 ± 2.33 and 0.29 ± 1.75 points, respectively. These results were validated in AWARE (N=60). Conclusion. This EMR-based automatic tool accurately calculates SOFA scores and can facilitate ICU decisions without the need for manual data collection. This tool can also be employed in a real-time electronic environment.http://dx.doi.org/10.1155/2013/975672 |
| spellingShingle | Andrew M. Harrison Hemang Yadav Brian W. Pickering Rodrigo Cartin-Ceba Vitaly Herasevich Validation of Computerized Automatic Calculation of the Sequential Organ Failure Assessment Score Critical Care Research and Practice |
| title | Validation of Computerized Automatic Calculation of the Sequential Organ Failure Assessment Score |
| title_full | Validation of Computerized Automatic Calculation of the Sequential Organ Failure Assessment Score |
| title_fullStr | Validation of Computerized Automatic Calculation of the Sequential Organ Failure Assessment Score |
| title_full_unstemmed | Validation of Computerized Automatic Calculation of the Sequential Organ Failure Assessment Score |
| title_short | Validation of Computerized Automatic Calculation of the Sequential Organ Failure Assessment Score |
| title_sort | validation of computerized automatic calculation of the sequential organ failure assessment score |
| url | http://dx.doi.org/10.1155/2013/975672 |
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