{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T10:03:49Z","timestamp":1760609029079,"version":"3.37.3"},"reference-count":48,"publisher":"Wiley","license":[{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Computational and Mathematical Methods in Medicine"],"published-print":{"date-parts":[[2017]]},"abstract":"<jats:p><jats:italic>Background.<\/jats:italic>We describe a nomogram to explain an Acute Illness Severity model, derived from emergency room triage and admission laboratory data, to predict 30-day in-hospital survival following an emergency medical admission.<jats:italic>Methods.<\/jats:italic>For emergency medical admissions (96,305 episodes in 50,612 patients) between 2002 and 2016, the relationship between 30-day in-hospital mortality and admission laboratory data was determined using logistic regression. The previously validated Acute Illness Severity model was then transposed to a Kattan-style nomogram with a Stata user-written program.<jats:italic>Results.<\/jats:italic>The Acute Illness Severity was based on the admission Manchester triage category and biochemical laboratory score; these latter were based on the serum albumin, sodium, potassium, urea, red cell distribution width, and troponin status. The laboratory admission data was predictive with an AUROC of 0.85 (95% CI: 0.85, 0.86). The sensitivity was 94.4%, with a specificity of 62.7%. The positive predictive value was 21.2%, with a negative predictive value of 99.1%. For the Kattan-style nomogram, the regression coefficients are converted to a 100-point scale with the predictor parameters mapped to a probability axis. The nomogram would be an easy-to-use tool at the bedside and for educational purposes, illustrating the relative importance of the contribution of each predictor to the overall score.<jats:italic>Conclusion.<\/jats:italic>A nomogram to illustrate and explain the prognostic factors underlying an Acute Illness Severity Score system is described.<\/jats:p>","DOI":"10.1155\/2017\/5267864","type":"journal-article","created":{"date-parts":[[2017,11,14]],"date-time":"2017-11-14T23:30:56Z","timestamp":1510702256000},"page":"1-8","source":"Crossref","is-referenced-by-count":8,"title":["Predicting Outcomes in Emergency Medical Admissions Using a Laboratory Only Nomogram"],"prefix":"10.1155","volume":"2017","author":[{"given":"Se\u00e1n","family":"Cournane","sequence":"first","affiliation":[{"name":"Medical Physics and Bioengineering Department, St. James\u2019s Hospital, Dublin 8, Ireland"}]},{"given":"Richard","family":"Conway","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, St. James\u2019s Hospital, Dublin 8, Ireland"}]},{"given":"Declan","family":"Byrne","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, St. James\u2019s Hospital, Dublin 8, Ireland"}]},{"given":"Deirdre","family":"O\u2019Riordan","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, St. James\u2019s Hospital, Dublin 8, Ireland"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9355-3362","authenticated-orcid":true,"given":"Bernard","family":"Silke","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, St. James\u2019s Hospital, Dublin 8, Ireland"}]}],"member":"311","reference":[{"volume":"70","year":"2009","key":"1"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.22.8.1026"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2007.05.003"},{"issue":"1","key":"4","doi-asserted-by":"crossref","first-page":"E3","DOI":"10.1016\/j.ejim.2007.11.012","volume":"19","year":"2008","journal-title":"European Journal of Internal Medicine"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcn025"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hci044"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzp045"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2011.05.016"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0061476"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcv014"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X09342278"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2014985"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000006404"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.22.2727"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.163.19.2345"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hct199"},{"issue":"2","key":"17","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1007\/BF03169128","volume":"174","year":"2005","journal-title":"Irish Journal of Medical Science"},{"issue":"1","key":"18","first-page":"21","volume":"105","year":"2012","journal-title":"Irish Medical Journal"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcp149"},{"issue":"2","key":"20","doi-asserted-by":"crossref","first-page":"59","DOI":"10.52964\/AMJA.0547","volume":"11","year":"2012","journal-title":"Acute Medicine"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1136\/postgradmedj-2013-132325"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(87)90171-8"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1111\/imj.12440"},{"year":"2006","key":"24"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1097\/MEJ.0000000000000192"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.143.1.7063747"},{"key":"27","doi-asserted-by":"publisher","DOI":"10.2307\/2531595"},{"key":"28","doi-asserted-by":"publisher","DOI":"10.1007\/b97647"},{"key":"29","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2005.02.011"},{"key":"30","doi-asserted-by":"publisher","DOI":"10.1373\/clinchem.2005.059030"},{"key":"31","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aei122"},{"key":"32","first-page":"521","volume":"92","year":"2001","journal-title":"Quarterly Medical Journal"},{"key":"33","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcm055"},{"key":"34","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcn165"},{"key":"35","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcl120"},{"key":"36","doi-asserted-by":"publisher","DOI":"10.1515\/CCLM.2008.136"},{"key":"37","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2009.01.027"},{"key":"38","doi-asserted-by":"publisher","DOI":"10.1378\/chest.128.5.3109"},{"key":"39","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(97)00015-2"},{"issue":"3","key":"40","doi-asserted-by":"crossref","first-page":"978","DOI":"10.1210\/jcem.87.3.8341","volume":"87","year":"2002","journal-title":"The Journal of Clinical Endocrinology & Metabolism"},{"key":"41","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000155235.48601.2A"},{"key":"42","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.164.9.982"},{"key":"43","doi-asserted-by":"publisher","DOI":"10.4065\/78.12.1471"},{"key":"45","doi-asserted-by":"publisher","DOI":"10.3390\/jcm3041220"},{"key":"46","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6603192"},{"key":"47","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2013.07.021"},{"key":"48","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-14-270"},{"key":"49","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcs099"}],"container-title":["Computational and Mathematical Methods in Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cmmm\/2017\/5267864.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cmmm\/2017\/5267864.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cmmm\/2017\/5267864.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,7]],"date-time":"2022-08-07T09:30:30Z","timestamp":1659864630000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/cmmm\/2017\/5267864\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017]]},"references-count":48,"alternative-id":["5267864","5267864"],"URL":"https:\/\/doi.org\/10.1155\/2017\/5267864","relation":{},"ISSN":["1748-670X","1748-6718"],"issn-type":[{"type":"print","value":"1748-670X"},{"type":"electronic","value":"1748-6718"}],"subject":[],"published":{"date-parts":[[2017]]}}}