{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T20:24:44Z","timestamp":1783023884941,"version":"3.54.6"},"reference-count":28,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T00:00:00Z","timestamp":1776124800000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of this study was to develop a mortality risk score in the intensive care units of referral hospitals in Bahir Dar City.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study included 852 participants who were admitted from January 1, 2019 to December 31, 2021. We used EpiData version 3.1 for data entry and R\u2010software for analysis. The mortality rate among participants was 35.9%. Multivariable logistic regression was employed to identify the independent prognostic determinants. Using beta\u2010coefficients, we developed and validated a prognostic model. Then a mortality risk score was determined based on the value of each prognostic determinant variable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Age, sex, health insurance user status, respiratory rate, temperature, mean arterial pressure, Glasgow Coma Scale, WBC count, sepsis, ARDS, organ\u2010insufficiency, mechanical ventilation, and vasopressor were independent prognostic determinants. Based on the prognostic determinants, we developed an easily applicable mortality risk score model. The model had a discrimination performance of AUC 0.90 (95% confidence interval of 0.88\u20130.92) and a calibration\n                      <jats:italic>p<\/jats:italic>\n                      value of 0.69.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The prognostic determinants identified in this study are easily accessible and easy to capture in routine clinical settings. As a result, the developed model has the potential to be effectively applied in low\u2010income countries where resources may be limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implication for Clinical Practice<\/jats:title>\n                    <jats:p>The model can help healthcare providers in low\u2010income settings to identify high\u2010risk patients and develop appropriate interventions to improve patient outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.72342","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T04:36:27Z","timestamp":1776227787000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Developing a Mortality Risk Score in Intensive Care Units of Referral Hospitals in Bahir Dar City, Ethiopia: A Prognostic Study"],"prefix":"10.1002","volume":"9","author":[{"given":"Yihun Miskir","family":"Wubie","sequence":"first","affiliation":[{"name":"Department of Emergency and Critical Care Nursing, College of Medicine and Health Sciences Bahir Dar University Bahir Dar Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asiya Mohammed","family":"Abdu","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, College of Medicine and Health Sciences Bahir Dar University Bahir Dar Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zelalem Alamrew","family":"Anteneh","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, College of Medicine and Health Sciences Bahir Dar University Bahir Dar Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,14]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-011-2235-z"},{"key":"e_1_2_14_3_1","unstructured":"Ministry of Health \u2010 Ethiopia Annual Performance Report 2012 EFY (2019\/2020)(Ministry of Health \u2010 Ethiopia 2020) https:\/\/www.moh.gov.et\/ejcc\/sites\/default\/files\/2020-11\/Annual_Performance_Report_2012%282019_2020%29.pdf."},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000005799"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2016.07.015"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1460458219850323"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aex324"},{"key":"e_1_2_14_8_1","doi-asserted-by":"crossref","unstructured":"C.Minton L.Batten andA.Huntington Long\u2010Term Patients in an ICU: How a New Patient Group Emerges(Taylor & Francis 2020).","DOI":"10.1080\/10376178.2019.1661787"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e318206d6d5"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201706-496ED"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-43742-2_21"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000001396"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-198510000-00009"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1993.03510240069035"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1993.03510200084037"},{"key":"e_1_2_14_16_1","doi-asserted-by":"crossref","unstructured":"J.\u2010L.Vincent R.Moreno J.Takala et al. The SOFA (Sepsis\u2010Related Organ Failure Assessment) Score to Describe Organ Dysfunction\/Failure(Springer\u2010Verlag 1996).","DOI":"10.1007\/BF01709751"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12911-022-01903-9"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0155858"},{"key":"e_1_2_14_19_1","unstructured":"A. E.Johnson N.Dunkley L.Mayaud A.Tsanas A. A.Kramer andG. D.Clifford. Patient Specific Predictions in the Intensive Care Unit Using a Bayesian Ensemble \u201d in2012 Computing in Cardiology(IEEE 2012) 249\u2013252."},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-015-0826-8"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000001194"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-017-1843-6"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15327906mbr2603_7"},{"key":"e_1_2_14_24_1","first-page":"1","article-title":"Pattern and Outcome of Medical Intensive Care Unit Admissions to Ayder Comprehensive Specialized Hospital in Tigray, Ethiopia","volume":"56","author":"Gidey K.","year":"2018","journal-title":"Ethiopian Medical Journal"},{"key":"e_1_2_14_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40560-021-00533-z"},{"key":"e_1_2_14_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/aas.13048"},{"key":"e_1_2_14_27_1","unstructured":"T.Srivastava \u201cImportant Model Evaluation Metrics for Machine Learning Everyone Should Know \u201d Analytics Vidhya 2020 (2019).https:\/\/www.analyticsvidhya.com\/blog\/2019\/08\/11-important-model-evaluation-error-metrics."},{"key":"e_1_2_14_28_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.07-3061"},{"key":"e_1_2_14_29_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.11-2164"}],"container-title":["Health Science Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.72342","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/hsr2.72342","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.72342","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T19:48:20Z","timestamp":1783021700000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hsr2.72342"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":28,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1002\/hsr2.72342"],"URL":"https:\/\/doi.org\/10.1002\/hsr2.72342","archive":["Portico"],"relation":{},"ISSN":["2398-8835","2398-8835"],"issn-type":[{"value":"2398-8835","type":"print"},{"value":"2398-8835","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"2025-02-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e72342"}}