J Korean Acad Nurs.  2011 Feb;41(1):92-100. 10.4040/jkan.2011.41.1.92.

Verification of Validity of MPM II for Neurological Patients in Intensive Care Units

• Kim H
• Kim K

• KMID: 1007012
• DOI: http://doi.org/10.4040/jkan.2011.41.1.92

Abstract

PURPOSE
Mortality Provability Model (MPM) II is a model for predicting mortality probability of patients admitted to ICU. This study was done to test the validity of MPM II for critically ill neurological patients and to determine applicability of MPM II in predicting mortality of neurological ICU patients.
METHODS
Data were collected from medical records of 187 neurological patients over 18 yr of age who were admitted to the ICU of C University Hospital during the period from January 2008 to May 2009. Collected data were analyzed through chi2 test, t-test, Mann-Whiteny test, goodness of fit test, and ROC curve.
RESULTS
As to mortality according to patients' general and clinically related characteristics, mortality was statistically significantly different for ICU stay, hospital stay, APACHE III score, APACHE predicted death rate, GCS, endotracheal intubation, and central venous catheter. Results of Hosmer-Lemeshow goodness-of-fit test were MPM II0 (chi2=0.02, p=.989), MPM II24 (chi2=0.99 p=.805), MPM II48 (chi2=0.91, p=.822), and MPM II72 (chi2=1.57, p=.457), and results of the discrimination test using the ROC curve were MPM II0, .726 (p<.001), MPM II24, .764 (p<.001), MPM II48, .762 (p<.001), and MPM II72, .809 (p<.001).
CONCLUSION
MPM II was found to be a valid mortality prediction model for neurological ICU patients.

Keyword

Intensive care unit; Neurology; Mortality; Validity

MeSH Terms

APACHE
Adult
Aged
Catheterization, Central Venous
Critical Illness
Female
Humans
Intensive Care Units
Intubation, Intratracheal
Length of Stay
Male
Middle Aged
Models, Theoretical
Nervous System Diseases/*mortality
Predictive Value of Tests
ROC Curve
Retrospective Studies
*Severity of Illness Index