Letters1 November 1997Reply: Predictions of Hospital Mortality RatesMichael Pine, MD, MBA, Marija Norusis, PhD, MPH, and Barbara Jones, MAMichael Pine, MD, MBAUniversity of Chicago Chicago, IL 60637Search for more papers by this author, Marija Norusis, PhD, MPHUniversity of Chicago Chicago, IL 60637Search for more papers by this author, and Barbara Jones, MAUniversity of Chicago Chicago, IL 60637Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-127-9-199711010-00018 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We agree with Drs. Kutner and Rao that validation of a model done by using bootstrapping or split-sample methods is essential for obtaining an unbiased estimate of its goodness of fit. Because our database was large, and because the primary focus of our paper was the comparison of models of several different types, we did not include validation results in our paper. While evaluating hospital performance for large coalitions, we have found that c-statistics remain remarkably stable when models developed on 1 year of data are applied to a subsequent year. The data on acute myocardial infarction presented ... Author, Article, and Disclosure InformationAffiliations: University of Chicago Chicago, IL 60637 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 November 1997Volume 127, Issue 9Page: 847KeywordsAcute myocardial infarctionAcute renal failureDatabasesDeath ratesMyocardial infarctionResearch laboratoriesShock Issue Published: 1 November 1997 Copyright & PermissionsCopyright © 1997 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...