Table 5 Performance of APACHE IV, SAPS 3, APACHE II, MELD-Na, MELD, and CTP models on prediction of 1 year mortality.

From: Comparison of APACHE IV with APACHE II, SAPS 3, MELD, MELD-Na, and CTP scores in predicting mortality after liver transplantation

 

APACHE IV -LT specific predicted mortality

SAPS 3

APACHE II

MELD-Na

MELD

CTP

AUC (95% CI)

0.83 (0.76–0.90)

0.71 (0.59–0.82)

0.73 (0.63–0.83)

0.67 (0.55–0.79)*

0.69 (0.57–0.80)

0.64 (0.53–0.75)

Cutoff point

39

55

20

23

19

11

H-L C-test χ2

7.91

2.81

6.75

8.46

6.73

4.37

p-value

0.44

0.95

0.56

0.39

0.57

0.50

H-L H-test χ2

5.92

6.53

8.62

6.37

8.92

5.19

p-value

0.66

0.59

0.38

0.61

0.35

0.74

SMR (95% CI)

NA

0.19 (0.13–0.29)

0.15 (0.09–0.22)

NA

NA

NA

Sensitivity

0.72

0.68

0.60

0.64

0.64

0.48

Specificity

0.73

0.70

0.73

0.67

0.65

0.75

PPV

0.11

0.09

0.09

0.08

0.08

0.08

NPV

0.98

0.98

0.98

0.98

0.98

0.97

  1. Statistical comparison of APACHE IV-LT specific predicted mortality with *MELD-Na scores (p = 0.035) and CTP scores (p = 0.03) after Holm adjustment for multiple comparisons.
  2. APACHE, acute physiology and chronic health evaluation; LT, liver transplantation; MELD, model for end-stage liver disease; MELD-Na, model for end-stage liver disease-Na; SAPS, Simplified Acute Physiology Score; CTP, Child-Turcotte-Pugh score; AUC, area under the receiver operating curve; CI, confidence interval; PPV, positive predictive value; NPV, negative predictive value; H-L C-test. Hosmer-Lemeshow C-statistics; H-L H-test, Hosmer-Lemeshow H-statistics; SMR, Standardized mortality ratio; NA, not applicable.