Validation of a Proprietary Deterioration Index Model and Performance in Hospitalized Adults.

ABSTRACT:

Importance

The Deterioration Index (DTI), used by hospitals for predicting patient deterioration, has not been extensively validated externally, raising concerns about performance and equitable predictions.

Objective

To locally validate DTI performance and assess its potential for bias in predicting patient clinical deterioration.

Design, setting, and participants

This retrospective prognostic study included 13 737 patients admitted to 8 heterogenous Midwestern US hospitals varying in size and type, including academic, community, urban, and rural hospitals. Patients were 18 years or older and admitted between January 1 and May 31, 2021.

Exposure

DTI predictions made every 15 minutes.

Main outcomes and measures

Deterioration, defined as the occurrence of

SUBMITTER: Byrd TF 

PROVIDER: S-EPMC10366696 | biostudies-literature | 2023 Jul

REPOSITORIES: biostudies-literature