Performance of intensive care unit severity scoring systems across different ethnicities in the USA: a retrospective observational study.

ABSTRACT:

Background

Despite wide use of severity scoring systems for case-mix determination and benchmarking in the intensive care unit (ICU), the possibility of scoring bias across ethnicities has not been examined. Guidelines on the use of illness severity scores to inform triage decisions for allocation of scarce resources, such as mechanical ventilation, during the current COVID-19 pandemic warrant examination for possible bias in these models. We investigated the performance of the severity scoring systems Acute Physiology and Chronic Health Evaluation IVa (APACHE IVa), Oxford Acute Severity of Illness Score (OASIS), and Sequential Organ Failure Assessment (SOFA) across four ethnicities in two large ICU databases to identify possible ethnicity-based bias.

Methods

Data from the e

SUBMITTER: Sarkar R 

PROVIDER: S-EPMC8063502 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature