Added value of clinical prediction rules for bacteremia in hemodialysis patients: An external validation study.

ABSTRACT:

Introduction

Having developed a clinical prediction rule (CPR) for bacteremia among hemodialysis (HD) outpatients (BAC-HD score), we performed external validation.

Materials & methods

Data were collected on maintenance HD patients at two Japanese tertiary-care hospitals from January 2013 to December 2015. We enrolled 429 consecutive patients (aged ≥ 18 y) on maintenance HD who had had two sets of blood cultures drawn on admission to assess for bacteremia. We validated the predictive ability of the CPR using two validation cohorts. Index tests were the BAC-HD score and a CPR developed by Shapiro et al. The outcome was bacteremia, based on the results of the admission blood cultures. For added value, we also measured changes in the area under the receiver operating characteris

SUBMITTER: Sasaki S 

PROVIDER: S-EPMC7899347 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature