%0 Journal Article
%T Use of the All Patient Refined-Diagnosis Related Group (APR-DRG) Risk of Mortality Score as a Severity Adjustor in the Medical ICU
%A Daniel Baram
%A Feroza Daroowalla
%A Ruel Garcia
%A Guangxiang Zhang
%A John J. Chen
%A Erin Healy
%A Syed Ali Riaz and Paul Richman
%J Clinical Medicine Insights: Circulatory, Respiratory and Pulmonary Medicine
%D 2012
%I 
%X Objective: To evaluate the performance of APR-DRG (All Patient Refined¡ªDiagnosis Related Group) Risk of Mortality (ROM) score as a mortality risk adjustor in the intensive care unit (ICU). Design: Retrospective analysis of hospital mortality. Setting: Medical ICU in a university hospital located in metropolitan New York. Patients: 1213 patients admitted between February 2004 and March 2006. Main results: Mortality rate correlated significantly with increasing APR-DRG ROM scores (p 0.0001). Multiple logistic regression analysis demonstrated that, after adjusting for patient age and disease group, APR-DRG ROM was significantly associated with mortality risk in patients, with a one unit increase in APR-DRG ROM associated with a 3-fold increase in mortality. Conclusions: APR-DRG ROM correlates closely with ICU mortality. Already available for many hospitalized patients around the world, it may provide a readily available means for severity-adjustment when physiologic scoring is not available.
%U http://www.la-press.com/use-of-the-all-patient-refined-diagnosis-related-group-apr-drg-risk-of-article-a724