van Walraven et al reported the Hospital-patient One-year Mortality Risk (HOMR) for a predicting one-year mortality for a hospitalized patient. It consists of multiple measures that are used to generate a final score..
Patient selection: hospitalized patient >= 20 years of age
Parameters:
(1) subscore for sex, ED visits, home oxygen, admission directly to the ICU, number of admissions by ambulance, urgent 30-day readmission, living status/admission urgency + admissions by ambulance)
(2) Charlson comorbidity index and age+comorbidity
(3) admitted service
(4) diagnostic risk score
final HOMR score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: may be negative
• maximum score: may exceed 68
HOMR Score
1-Year Mortality
< 21
0.2%
21
1%
22
1.2%
23
1.4%
24
1.7%
25
2.2%
26
2.7%
27
3.3%
28
4.2%
29
4.9%
30
6.3%
31
7.7%
32
9.4%
33
11.4%
34
13.6%
35
16%
36
20%
37
23%
38
27%
39
32%
40
37%
41
43%
42
46%
43
51%
44
53%
45
58%
46
63%
47
70%
48
74%
49
78%
50
81%
51
82%
52
86%
53
89%
54
91%
55
90%
> 55
97%
Performance:
• The area under the ROC curve is 0.92
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