{"id":3734,"date":"2017-03-30T00:00:00","date_gmt":"2017-03-30T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/homr-now-model-accurately-predicts-1-year-death-risk-for-hospitalized-patients-on-admission\/"},"modified":"2023-06-14T19:48:35","modified_gmt":"2023-06-14T23:48:35","slug":"homr-now-model-accurately-predicts-1-year-death-risk-for-hospitalized-patients-on-admission","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/homr-now-model-accurately-predicts-1-year-death-risk-for-hospitalized-patients-on-admission\/","title":{"rendered":"HOMR-now! model accurately predicts 1-year death risk for hospitalized patients on admission"},"content":{"rendered":"<p><strong>Background<\/strong> &#x2014; The Hospital-patient One-year Mortality Risk (HOMR) score is an externally validated index using health administrative data to accurately predict the risk of death within one year of admission to hospital. This study derived and internally validated a HOMR modification using data that are available when the patient is admitted to hospital.<\/p>\n<p><strong>Methods<\/strong> &#x2014; From all adult hospitalizations at our tertiary-care teaching hospital between 2004 and 2015, we randomly selected one per patient. We added to all HOMR variables that could be determined from our hospital&apos;s data systems on admission other factors that might prognosticate. Vital statistics registries determined vital status at 1-year from admission.<\/p>\n<p><strong>Results<\/strong> &#x2014; 32, 112 of 206, 396 patients (15.6%) died within 1 year of admission to hospital. The HOMR-now! model included patient (sex, comorbidities, living and cancer clinic status, and 1-year death risk from population-based life-tables) and hospitalization factors (admission year, urgency, service and laboratory-based acuity score). The model explained more than half of the total variability (Regenkirke&apos;s R2 value of 0.53), was very discriminative (c-statistic 0.92), and accurately predicted death risk (calibration slope 0.98).<\/p>\n<p><strong>Conclusion<\/strong> &#x2014; One-year risk of death can be accurately predicted using routinely collected data available when patients are admitted to hospital.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background &#x2014; The Hospital-patient One-year Mortality Risk (HOMR) score is an externally validated index using health administrative data to accurately predict the risk of death within one year of admission to hospital. This study derived and internally validated a HOMR modification using data that are available when the patient is admitted to hospital. Methods &#x2014; [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[24,59],"migration-helper-qa-sample-set":[],"class_list":["post-3734","journal_article","type-journal_article","status-publish","hentry","topic-acute-and-emergency-services","topic-data-science"],"acf":{"citation":"van Walraven C, Forster AJ. <em>Am J Med<\/em>. 2017; 130(8):991.e9-16. Epub 2017 Mar 30.","source_url":"http:\/\/www.amjmed.com\/article\/S0002-9343(17)30320-0\/fulltext","ices_scientist":[1119,1231],"site":[6734],"research_program":[6740],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"1C2933AB-A814-4AC7-82C4-8B692A1E70F3","sitecore_item_name":"HOMR-now-Model-accurately-predicts-1-year-death-risk-for-hospitalized-patients-on-admission","sitecore_field_values":"{\n  \"__Valid from\": \"20170816T152255\",\n  \"Title\": \"HOMR-now! model accurately predicts 1-year death risk for hospitalized patients on admission\",\n  \"Short title\": \"HOMR-now! Model accurately predicts\",\n  \"Summary\": \"This study derived and internally validated a HOMR modification using data that are available when a patient is admitted to hospital.\",\n  \"Citation\": \"<p>van Walraven C, Forster AJ. <em>Am J Med<\/em>. 2017; 130(8):991.e9-16. Epub 2017 Mar 30.<\/p>\",\n  \"Abstract\": \"<p><strong>Background<\/strong> &mdash; The Hospital-patient One-year Mortality Risk (HOMR) score is an externally validated index using health administrative data to accurately predict the risk of death within one year of admission to hospital. This study derived and internally validated a HOMR modification using data that are available when the patient is admitted to hospital.<\/p>n<p><strong>Methods<\/strong> &mdash; From all adult hospitalizations at our tertiary-care teaching hospital between 2004 and 2015, we randomly selected one per patient. We added to all HOMR variables that could be determined from our hospital's data systems on admission other factors that might prognosticate. Vital statistics registries determined vital status at 1-year from admission.<\/p>n<p><strong>Results<\/strong> &mdash; 32, 112 of 206, 396 patients (15.6%) died within 1 year of admission to hospital. The HOMR-now! model included patient (sex, comorbidities, living and cancer clinic status, and 1-year death risk from population-based life-tables) and hospitalization factors (admission year, urgency, service and laboratory-based acuity score). The model explained more than half of the total variability (Regenkirke's R2 value of 0.53), was very discriminative (c-statistic 0.92), and accurately predicted death risk (calibration slope 0.98).<\/p>n<p><strong>Conclusion<\/strong> &mdash; One-year risk of death can be accurately predicted using routinely collected data available when patients are admitted to hospital.<\/p>n<p><a href=\"http:\/\/www.amjmed.com\/article\/S0002-9343(17)30320-0\/fulltext\" title=\"opens external link\">View full text<\/a><\/p>\",\n  \"Keywords\": \"{CDDF7B9A-B998-4F32-B509-5A4A5C703470}|{E93E0287-ACCB-4952-BB98-00EF52815525}|{118EB8D0-7B89-4F3C-8A61-7A4EED2FB8E3}\",\n  \"Research Programs\": \"{46DF28D2-EDE8-4DF2-8CC0-87CEF464E435}\",\n  \"ICES Locations\": \"{0AD77E2C-C883-4E93-8B9A-40B82D50E3A5}\",\n  \"ICES Scientists\": \"{372EE381-9B1A-49F5-AC1B-0D8675558A8D}|{1F2D3B95-23E8-4B8B-9D60-D6E77DB0A4C8}\",\n  \"Posted Date\": \"20170330T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2017\/March\/HOMR-now-Model-accurately-predicts-1-year-death-risk-for-hospitalized-patients-on-admission"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | HOMR-now! model accurately predicts 1-year death risk for hospitalized patients on admission<\/title>\n<meta name=\"description\" content=\"Background &#x2014; The Hospital-patient One-year Mortality Risk (HOMR) score is an externally validated index using health administrative data to\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/homr-now-model-accurately-predicts-1-year-death-risk-for-hospitalized-patients-on-admission\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | HOMR-now! model accurately predicts 1-year death risk for hospitalized patients on admission\" \/>\n<meta property=\"og:description\" content=\"Background &#x2014; The Hospital-patient One-year Mortality Risk (HOMR) score is an externally validated index using health administrative data to\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/homr-now-model-accurately-predicts-1-year-death-risk-for-hospitalized-patients-on-admission\/\" \/>\n<meta property=\"og:site_name\" content=\"ICES\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ICESOntario\/\" \/>\n<meta property=\"article:modified_time\" content=\"2023-06-14T23:48:35+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"675\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/homr-now-model-accurately-predicts-1-year-death-risk-for-hospitalized-patients-on-admission\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/homr-now-model-accurately-predicts-1-year-death-risk-for-hospitalized-patients-on-admission\\\/\",\"name\":\"ICES | HOMR-now! 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