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Table 3 Evidence level and validation of scoring systems to predict in-patient mortality in the medical admission unit

From: Risk scoring systems for adults admitted to the emergency department: a systematic review

Scoring system Level of evidence1 Validated in a new population at same site as developed Validated in a new population at an external location Discrimination (ability to identify patients at risk), AUROC Calibration (agreement between predicted and observed risk), Chi-square
REMS[21] 3 0.852 (+/- 0.014) 487.3 (p < 0.0001)
RAPS[17] 3 - NS NS
GS[18] 4 - - 0.81 (95% CI: 0.78-0.84) NS
HOTEL[15] 3 - 0.865 (0.793-0.937) Validation: 0.854 (0.746-0.962) 1.49 (p = 0.83)
SCS[14] 3 - 0.858 (SE 0.009) Validation: 0.856 (SE 0.013) NS
WPS[20] 3 - 0.74 (0.74-0.77) p = 0.119
RLD[13] 3 - 2 2
TTS[16] 2 3 0.657-0.782 NS
EWS[19] 2 - 0.68 (0.65-0.71) NS
ALT[12] 3 - 0.904 4
  1. NS = not specified
  2. 1 according to McGinn et al[8]
  3. 2 only specified for validation cohorts
  4. 3 several publications validate TTS
  5. 4 mentioned to be good, but not specified