TABLE 42

Raw data fields for the ICNARCH-2014 risk prediction model for acute hospital mortality

Predictor (units of measurement)Field type (range)Definition/categories
Highest heart rate (beats per minute)Integer (0–450)Highest heart rate from the first 24 hours following admission to the critical care unit
Lowest SBP (mmHg)Integer (0–400)Lowest SBP from the first 24 hours following admission to the critical care unit
Highest temperature (°C)Real (0.0–46.0)Highest central temperature from the first 24 hours following admission to the critical care unit. If no central temperature recorded, use highest non-central temperature + 0.5 °C
Lowest respiratory rate (breaths per minute)Integer (0–100)Lowest rate (either ventilated or non-ventilated) from the first 24 hours following admission to the critical care unit
Lowest PaO2 (kPa)Real (1.0–100.0)Lowest PaO2 from an arterial blood gas using blood sampled during the first 24 hours following admission to the critical care unit
Associated FiO2Real (0.21–1.00)FiO2 associated with the arterial blood gas with the lowest PaO2
Lowest arterial pHReal (6.10–9.00)Lowest arterial pH from blood sampled during the first 24 hours following admission to the critical care unit
Associated PaCO2 (kPa)Real (0.0–50.0)PaCO2 from the arterial blood gas with the lowest arterial pH
Highest blood lactate concentration (mmol/l)Real (0.1–35.0)Highest blood lactate concentration from the first 24 hours following admission to the critical care unit
Total urine output (ml)Integer (0–99999)Total urine output from the first 24 hours following admission to the critical care unit. For admissions with a length of stay less than 24 hours, the total over the entire stay is recorded and scaled to represent a 24-hour equivalent
Highest urea level (mmol/l)Real (0.0–300.0)Highest serum urea concentration from the first 24 hours following admission to the critical care unit
Highest creatinine level (µmol/l)Integer (9–5000)Highest serum creatinine concentration from the first 24 hours following admission to the critical care unit
Highest sodium level (mmol/l)Integer (40, 260)Highest serum sodium concentration from the first 24 hours following admission to the critical care unit
Lowest WBC count (× 109/l)Real (0.0–9999.9)Lowest WBC count from the first 24 hours following admission to the critical care unit
Lowest platelet count (× 109/l)Integer (0–9999)Lowest platelet count from the first 24 hours following admission to the critical care unit
Sedation/paralysisCategoricalSedation/paralysis during the first 24 hours following admission to the critical care unit, categorised as: sedated for the entire of the first 24 hours; paralysed and sedated for the entire of the first 24 hours; or neither sedated nor paralysed and sedated for the entire of the first 24 hours
Lowest total GCS scoreInteger (3–15)Lowest total GCS score from the first 24 hours following admission to the critical care unit if neither sedated nor paralysed and sedated
Age (years)Integer (0–125)Age in whole years at admission to the critical care unit
Severe liver disease in past medical historyBoolean (yes/no)Biopsy-proven cirrhosis, portal hypertension or hepatic encephalopathy, evident during the 6 months prior to admission to the critical care unit and documented prior to or at admission to the unit
Metastatic diseaseBoolean (yes/no)Distant metastases documented by surgery, imaging or biopsy, evident during the 6 months prior to admission to the critical care unit and documented prior to or at admission to the unit
Haematological malignancyBoolean (yes/no)Acute or chronic myelogenous leukaemia, acute or chronic lymphocytic leukaemia, multiple myeloma or lymphoma, evident during the 6 months prior to admission to the critical care unit and documented prior to or at admission to the unit
Dependency prior to admissionCategoricalDependency prior to admission to acute hospital, assessed as the best description for the dependency of the patient in the two weeks prior to admission to acute hospital and prior to the onset of the acute illness
Categorised as: able to live without assistance in daily activities; some (minor or major) assistance with daily activities; or total assistance with all daily activities. Daily activities include bathing, dressing, going to the toilet, moving in/out of bed/chair, continence and eating
CPR prior to admissionCategoricalCPR (internal or external cardiac massage) received within 24 hours prior to admission to the critical care unit, categorised as: in-hospital CPR (administered by an in-hospital resuscitation team or equivalent); community CPR (not administered by an in-hospital resuscitation team or equivalent); or no CPR. Where a patient received CPR both in the community and in-hospital, this is recorded as community CPR
Source of admissionCategoricalThe location of the patient immediately prior to admission to the critical care unit, categorised as: emergency department or not in hospital; other acute hospital; Other critical care unit; theatre; or ward or intermediate care area. For patients whose location immediately prior to admission was a transient location of clinic, imaging department, recovery (used as a temporary critical care area) or specialist treatment area, their last non-transient location is recorded
Urgency of surgeryCategoricalFor patients whose location immediately prior to admission was theatre, the urgency of surgery, categorised as: elective/scheduled; or emergency/urgent (according to the classification of the National Confidential Enquiry into Patient Outcome and Death)
Planned admission to the critical care unitCategoricalPlanned admission to the critical care unit, categorised as: planned; unplanned; or, for transfers from another critical care unit only, repatriation. For admissions from theatre, planned admission is defined as acceptance by the critical care unit prior to induction of anaesthesia. For medical admissions, a planned admission is a pre-arranged admission for a planned investigation or high-risk medical treatment. For transfers from another health-care provider, a planned admission is a pre-arranged admission after treatment or initial stabilisation but requiring specialist or higher-level critical care that cannot be provided at the source. Repatriation is defined as a planned transfer because the patient either originated from that critical care unit (i.e. returning after specialist treatment elsewhere) or from that hospital or local area
Primary reason for admissionString (13)Primary reason for admission to the critical care unit, coded using the ICNARC coding method (www​.icnarc.org/Our-Audit​/Audits/Cmp/Resources​/Icm-Icnarc-Coding-Method)
Mechanical ventilationBoolean (yes/no)Mechanical ventilation at any time during the first 24 hours following admission to the critical care unit

From: Appendix 2, The new Intensive Care National Audit & Research Centre model: ICNARCH-2014

Cover of Ensuring comparisons of health-care providers are fair: development and validation of risk prediction models for critically ill patients
Ensuring comparisons of health-care providers are fair: development and validation of risk prediction models for critically ill patients.
Health Services and Delivery Research, No. 3.41.
Harrison DA, Ferrando-Vivas P, Shahin J, et al.
Southampton (UK): NIHR Journals Library; 2015 Oct.
Copyright © Queen’s Printer and Controller of HMSO 2015. This work was produced by Harrison et al. under the terms of a commissioning contract issued by the Secretary of State for Health. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.

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