Accuracy and Equity of the End-of-Life Care Index in Predicting 1-Year Mortality

In this prognostic study of hospitalized adults in 2 large US health systems, the EOLCI showed moderate to high discrimination but poor calibration, with reasonably equitable performance across many sociodemographic characteristics and diagnoses. These findings may inform potential opportunities and limitations for using the EOLCI in clinical settings and serve as benchmarks for health systems developing local mortality risk models.

Corresponding Author: Rachel Kohn, MD, MSCE, Hospital of the University of Pennsylvania, 3400 Spruce St, 836 Gates Building, Philadelphia, PA 19104 (rachel.kohn2@pennmedicine.upenn.edu).

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