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Table 1 Performance scores, reflected as pooled AUC, per country for each risk score

From: Predicting unplanned hospital visits in older home care recipients: a cross-country external validation study

 

Hospital admissions

ED visits

Any hospital visit

Italy, N (%)

220 (44.1)

166 (33.3)

259 (51.9)

Risk score

Pooled AUC (95% CI)

Pooled AUC (95% CI)

Pooled AUC (95%-CI)

DIVERT

0.57 (0.51–0.62)

0.56 (0.50–0.61)

0.58 (0.53–0.63)

CARS

0.61 (0.55–0.65)

0.58 (0.53–0.63)

0.62 (0.57–0.67)

EARLI

0.60 (0.55–0.65)

0.54 (0.48–0.59)

0.67 (0.52–0.62)

PAA-score

0.61 (0.57–0.66)

0.63 (0.58–0.68)

0.62 (0.57–0.67)

CHESS

0.57 (0.52–0.62)

0.52 (0.47–0.57)

0.57 (0.52–0.61)

FFC

0.55 (0.50–0.60)

0.51 (0.46–0.56)

0.53 (0.48–0.58)

FI

0.54 (0.49–0.59)

0.52 (0.47–0.57)

0.52 (0.47–0.57)

the Netherlands, N (%)

41 (17.0)

27 (11.1)

58 (23.6)

Risk score

Pooled AUC (95% CI)

Pooled AUC (95% CI)

Pooled AUC (95%-CI)

DIVERT

0.58 (0.47–0.68)

0.65 (0.53–0.75)

0.60 (0.50–0.69)

CARS

0.55 (0.43–0.65)

0.63 (0.49–0.74)

0.58 (0.48–0.67)

EARLI

0.55 (0.43–0.65)

0.60 (0.46–0.73)

0.56 (0.46–0.66)

PAA-score

0.53 (0.44–0.62)

0.54 (0.45–0.63)

0.55 (0.47–0.63)

CHESS

0.52 (0.41–0.63)

0.60 (0.48–0.71)

0.53 (0.44–0.63)

FFC

0.52 (0.42–0.62)

0.57 (0.42–0.71)

0.52 (0.43–0.60)

FI

0.56 (0.45–0.66)

0.54 (0.38–0.68)

0.56 (0.46–0.66)

Belgium, N (%)

66 (14.0)

15 (3.3)

71 (15.2)

Risk score

Pooled AUC (95% CI)

Pooled AUC (95% CI)

Pooled AUC (95%-CI)

DIVERT

0.68 (0.59–0.75)

0.68 (0.51–0.81)

0.67 (0.59–0.74)

CARS

0.67 (0.55–0.77)

0.68 (0.47–0.83)

0.66 (0.56–0.75)

EARLI

0.63 (0.55–0.71)

0.70 (0.51–0.84)

0.63 (0.55–0.71)

PAA-score

0.67 (0.61–0.73)

0.70 (0.55–0.81)

0.67 (0.61–0.73)

CHESS

0.57 (0.50–0.64)

0.54 (0.39–0.68)

0.57 (0.50–0.64)

FFC

0.55 (0.48–0.62)

0.57 (0.44–0.70)

0.55 (0.49–0.62)

FI

0.53 (0.45–0.60)

0.52 (0.39–0.65)

0.53 (0.46–0.60)

Iceland, N (%)

75 (21.0)

30 (8.4)

92 (25.8)

Risk score (range)

Pooled AUC (95% CI)

Pooled AUC (95% CI)

Pooled AUC (95%-CI)

DIVERT

0.73 (0.66–0.79)

0.67 (0.55–0.77)

0.74 (0.68–0.80)

CARS

0.72 (0.65–0.79)

0.72 (0.61–0.81)

0.74 (0.67–0.80)

EARLI

0.72 (0.65–0.79)

0.55 (0.43–0.67)

0.69 (0.61–0.75)

PAA-score

0.69 (0.63–0.75)

0.65 (0.55–0.74)

0.69 (0.63–0.75)

CHESS

0.57 (0.50–0.64)

0.58 (0.48–0.67)

0.58 (0.51–0.64)

FFC

0.58 (0.49–0.66)

0.53 (0.43–0.63)

0.56 (0.48–0.64)

FI

0.60 (0.53–0.67)

0.55 (0.45–0.65)

0.60 (0.53–0.67)

Finland, N (%)

87 (20.0)

85 (19.6)

142 (32.7)

Risk score (range)

Pooled AUC (95% CI)

Pooled AUC (95% CI)

Pooled AUC (95%-CI)

DIVERT

0.69 (0.62–0.75)

0.72 (0.67–0.77)

0.73 (0.67–0.77)

CARS

0.63 (0.56–0.69)

0.61 (0.54–0.67)

0.64 (0.58–0.70)

EARLI

0.62 (0.55–0.69)

0.57 (0.50–0.64)

0.60 (0.54–0.65)

PAA-score

0.66 (0.59–0.72)

0.70 (0.63–0.76)

0.69 (0.64–0.74)

CHESS

0.55 (0.48–0.61)

0.56 (0.49–0.62)

0.53 (0.48–0.59)

FFC

0.56 (0.50–0.61)

0.55 (0.49–0.61)

0.55 (0.50–0.61)

FI

0.61 (0.54–0.68)

0.54 (0.47–0.61)

0.58 (0.52–0.64)

Germany, N (%)

51 (11.5)

19 (4.3)

63 (14.2)

Risk score (range)

Pooled AUC (95% CI)

Pooled AUC (95% CI)

Pooled AUC (95%-CI)

DIVERT

0.64 (0.55–0.72)

0.52 (0.38–0.66)

0.62 (0.54–0.70)

CARS

0.59 (0.50–0.68)

0.54 (0.40–0.68)

0.59 (0.51–0.67)

EARLI

0.65 (0.56–0.73)

0.59 (0.45–0.72)

0.65 (0.57–0.72)

PAA-score

0.61 (0.54–0.68)

0.55 (0.44–0.66)

0.61 (0.54–0.67)

CHESS

0.59 (0.50–0.67)

0.53 (0.40–0.65)

0.56 (0.48–0.63)

FFC

0.54 (0.45–0.61)

0.58 (0.44–0.71)

0.51 (0.43–0.58)

FI

0.51 (0.42–0.60)

0.52 (0.38–0.66)

0.52 (0.43–0.60)

  1. Abbreviations: 95% CI 95% confidence interval; AUC area under the curve; CARS Community Assessment Risk Screen; CHESS MDS Changes in Health, End-stage disease and Symptoms and Signs; DIVERT Detection of Indicators and Vulnerabilities for Emergency Room Trips; EARLI Emergency Admission Risk Likelihood Index; ED emergency department; FFC Fried’s frailty criteria; FI frailty index; PAA previous acute admissions. Number of imputed outcomes per country [unplanned admissions - ED visits - any unplanned hospital visit]: Italy [3 - 2 - 3]; Netherlands [48 - 47 - 48]; Belgium [38 - 36 - 38]; Iceland [15 - 15 - 15]; Finland [20 - 20 - 20]; Germany [46 - 46 - 46]