A new risk prediction model for critical care: The Intensive Care National Audit & Research Centre (ICNARC) model*

@article{Harrison2007ANR,
  title={A new risk prediction model for critical care: The Intensive Care National Audit \& Research Centre (ICNARC) model*},
  author={David A. Harrison and Gareth J. Parry and James R. Carpenter and Alasdair Short and Kathy Rowan},
  journal={Critical Care Medicine},
  year={2007},
  volume={35},
  pages={1091-1098}
}
Objective:To develop a new model to improve risk prediction for admissions to adult critical care units in the UK. Design:Prospective cohort study. Setting:The setting was 163 adult, general critical care units in England, Wales, and Northern Ireland, December 1995 to August 2003. Patients:Patients were 216,626 critical care admissions. Interventions:None. Measurements and Main Results:The performance of different approaches to modeling physiologic measurements was evaluated, and the best… 
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190 Citations
Highly Influential Citations
3
Background Citations
32
Methods Citations
52
Results Citations
4

190 Citations

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Citation Type

Outcome prediction in critical care: the ICNARC model
TLDR
The elimination of model exclusion criteria, for example age less than 16 years, means that the model compares the observed and expected outcomes for all patients admitted to a critical care unit providing a fairer method for comparative audit.
Development and validation of the new ICNARC model for prediction of acute hospital mortality in adult critical care
External validation of the intensive care national audit & research centre (ICNARC) risk prediction model in critical care units in Scotland
TLDR
The ICNARC model performed well when validated in an external population to that in which it was developed, using independently collected data.
Case mix, outcomes and comparison of risk prediction models for admissions to adult, general and specialist critical care units for head injury: a secondary analysis of the ICNARC Case Mix Programme Database
TLDR
The ICNARC model, SAPS II and MPM II discriminated best between survivors and non-survivors and were better calibrated than raw GCS, APACHE II and III in 5,393 patients eligible for all models.
Assessing Contemporary Intensive Care Unit Outcome: Development and Validation of the Australian and New Zealand Risk of Death Admission Model
TLDR
Predictions from the models had high correlations in all major diagnostic groups, with the exception of cardiac surgery and possibly trauma and sepsis, and the ANZROD0 model had acceptable calibration and discrimination.
Age influences the predictive value of Acute Physiology and Chronic Health Evaluation II and Intensive Care National Audit and Research Centre scoring models in patients admitted to Intensive Care Units after in-hospital cardiac arrest
  • D. Senaratne, T. Veenith
  • Medicine
    Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine
  • 2015
TLDR
This retrospective observational study aimed to compare the performance of the Acute Physiology and Chronic Health Evaluation II (APACHE II) and Intensive Care National Audit and Research Centre (ICNARC) scoring systems in predicting outcome following ICU admission after IHCA in younger and older patients.
The Assessment of Risk in Cardiothoracic Intensive Care (ARCtIC): prediction of hospital mortality after admission to cardiothoracic critical care
TLDR
The discrimination and calibration of the model suggest that it might be used to predict hospital mortality after admission to cardiothoracic critical care units.
A novel mortality prediction model for the current population in an adult intensive care unit
Validation of the Intensive Care National Audit and Research Centre Scoring System in a UK Adult Cardiac Surgery Population.
TLDR
The authors have, for the first time, validated the ICNARC score as a useful predictor of postoperative mortality in adult cardiac surgical patients.
The organisation of critical care for burn patients in the UK: epidemiology and comparison of mortality prediction models
TLDR
The discrimination and calibration of the generic Intensive Care National Audit and Research Centre model was superior to the revised Baux and Belgian Outcome in Burn Injury burn‐specific models for patients managed on both specialist burn and general intensive care units.
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