Table 3 Models
From: Predicting the need for supportive services after discharged from hospital: a systematic review
Study | Outcome | Number (%) with outcome | Variable screening method | Variable selection method | Variables included in final model | Discrimination (derivation) | Discrimination (validation) | Calibration | Other measures of model performance |
|---|---|---|---|---|---|---|---|---|---|
Fairchild et al., 1998 [15] | Use of post-discharge medical services | 134 (35) | Univariable analysis | Selection algorithm | Age > 65, SF-36 Physical administered on admission < 50, SF-36 Social < 15 | AUC = 0.75 | AUC = 0.70 | N/A | N/A |
Simonet et al., 2008 [20] | Discharge to a post-acute care facility | 104 (30) | Univariable analysis | Selection algorithm | Number of medically active conditions on admission, Inability of patient’s partner to provide home help, Number of IADL and ADL disabilities, Age, Admitted via inter-hospital transfer | AUC = 0.82 | AUC = 0.77 | N/A | 8-point cutoff: Sensitivity 0.87/Specificity 0.63, 16-point cutoff: Sensitivity 0.42/Specificity 0.91 |
Mehta et al., 2011 [16] | Need for IADL support | 242 (27) | Univariable analysis | Best subset algorithm | Age < 80, 80–89, > 90, Dependent in > 3 IADLS prior to admission, Number of ADL dependencies at the time of admission 1, 2–3, 4–5, Metastatic cancer or stroke, Albumin < 3 g/dL, Mobility before admission | 0.78 | 0.78 | H-L P = 0.40 | N/A |
Stineman et al., 2014 [18] | Home discharge | 3348 (85) | Univariable analysis | Selection algorithm | Married, Location before admission extended care, hospital, home, Functional recovery grade at discharge, discharge cognitive grade, History of liver disease, no feeding tube required, No intensive care unit admission, Mechanical ventilation during admission | 0.82 | 0.8 | H-L P = 0.23 | |
Tapper et al., 2015 [19] | Discharge to rehabilitation | 199 (15) | Clinical reasoning | None (all variables included) | Gender, Age, Ethnicity, Charlson Co-morbidity Index, Admission ADL score, Admission Morse fall risk score and Braden score, Admission MELD, Admission serum sodium, Infection, Cirrhotic decompensation, Hepato-cellular carcinoma, Admitting hepatologist | AUC = 0.85 | AUC = 0.77 | N/A | N/A |
Basic et al., 2015 [17] | New Admission to a Nursing Home | 62 (5.9%) | Clinical reasoning, literature review | Backwards selection Using LR test | Clinical frailty scale 7-point, Dementia, delirium, Age, Urinary retention, Deconditioning, Seizure disorder | N/A | N/A | N/A | N/A |