Evaluating equity in performance of an electronic health record-based 6-month mortality risk model to trigger palliative care consultation: a retrospective model validation analysis.

ABSTRACT:

Objective

Evaluate predictive performance of an electronic health record (EHR)-based, inpatient 6-month mortality risk model developed to trigger palliative care consultation among patient groups stratified by age, race, ethnicity, insurance and socioeconomic status (SES), which may vary due to social forces (eg, racism) that shape health, healthcare and health data.

Design

Retrospective evaluation of prediction model.

Setting

Three urban hospitals within a single health system.

Participants

All patients ≥18 years admitted between 1 January and 31 December 2017, excluding observation, obstetric, rehabilitation and hospice (n=58 464 encounters, 41 327 patients).

Main outcome measures

General performance metrics (c-statistic, integrated calibration index (

SUBMITTER: Teeple S 

PROVIDER: S-EPMC10898860 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature