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Cited by 685

The DOI matches its Crossref record; 36 of the 36 references it cites were found in a registry or an index.

SAPS 3—From evaluation of the patient to evaluation of the intensive care unit. Part 1: Objectives, methods and cohort description

Open access
Metnitz, Philipp G. H., Moreno, Rui P., Almeida, Eduardo, Jordan, Barbara, Bauer, Peter, Campos, Ricardo Abizanda, Iapichino, Gaetano, Edbrooke, David, Capuzzo, Maurizia, Le Gall, Jean-Roger, on behalf of the SAPS 3 Investigators·2005·Intensive Care Medicine

Abstract

OBJECTIVE: Risk adjustment systems now in use were developed more than a decade ago and lack prognostic performance. Objective of the SAPS 3 study was to collect data about risk factors and outcomes in a heterogeneous cohort of intensive care unit (ICU) patients, in order to develop a new, improved model for risk adjustment. DESIGN: Prospective multicentre, multinational cohort study. PATIENTS AND SETTING: A total of 19,577 patients consecutively admitted to 307 ICUs from 14 October to 15 December 2002. MEASUREMENTS AND RESULTS: Data were collected at ICU admission, on days 1, 2 and 3, and the last day of the ICU stay. Data included sociodemographics, chronic conditions, diagnostic information, physiological derangement at ICU admission, number and severity of organ dysfunctions, length of ICU and hospital stay, and vital status at ICU and hospital discharge. Data reliability was tested with use of kappa statistics and intraclass-correlation coefficients, which were >0.85 for the majority of variables. Completeness of the data was also satisfactory, with 1 [0-3] SAPS II parameter missing per patient. Prognostic performance of the SAPS II was poor, with significant differences between observed and expected mortality rates for the overall cohort and four (of seven) defined regions, and poor calibration for most tested subgroups. CONCLUSIONS: The SAPS 3 study was able to provide a high-quality multinational database, reflecting heterogeneity of current ICU case-mix and typology. The poor performance of SAPS II in this cohort underscores the need for development of a new risk adjustment system for critically ill patients.

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Metadata

Authors
Metnitz, P. G. H., Moreno, R. P., Almeida, E., Jordan, B., Bauer, P., Campos, R. A., Iapichino, G., Edbrooke, D., Capuzzo, M., Le Gall, J.-R., & on behalf of the SAPS 3 Investigators
Venue
Intensive Care Medicine
Published
2005-08-17
Volume
31
Issue
10
Pages
1336-1344
ISSN
  • 0342-4642 (ISSN-L)
  • 1432-1238
OpenAlex
W2141220041
Cited by
685
References
36
FWCI
12.87
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: SAPS 3—From evaluation of the patient to evaluation of the intensive care unit. Part 1: Objectives, methods and cohort description. https://app.cochat.ai/papers/10.1007/s00134-005-2762-6
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Metnitz, P. G. H., Moreno, R. P., Almeida, E., Jordan, B., Bauer, P., Campos, R. A., Iapichino, G., Edbrooke, D., Capuzzo, M., Le Gall, J.-R., & on behalf of the SAPS 3 Investigators. (2005). SAPS 3—From evaluation of the patient to evaluation of the intensive care unit. Part 1: Objectives, methods and cohort description. Intensive Care Medicine. https://doi.org/10.1007/s00134-005-2762-6

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