Quantifying risk and benchmarking performance in the adult intensive care unit.
Quantifying risk and benchmarking performance in the adult intensive care unit.
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DOI：
10.1177/0885066607299520
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发表时间：
2007-05-01
影响因子：
3.1
通讯作者：
Higgins, Thomas L
中科院分区：
文献类型：
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作者：
Higgins, Thomas L
接受重症监护的患者的发病率、死亡率和住院时间结果很难解释，除非对诊断进行风险分层、呈现疾病的严重程度和其他患者特征。成人视力调整系统包括急性生理学和慢性健康评估 (APACHE)、死亡率概率模型 (MPM) 和简化急性生理学评分 (SAPS)。所有这些最近都进行了更新和重新校准，以反映当代结果。专业评分也适用于一般敏锐度评分存在缺陷的患者亚群。随着按绩效付费计划以及常规临床、预后、管理和研究应用，对结果数据的需求可能会增长。对于临床医生来说，了解这些分数是如何得出的以及如何正确应用它们来量化患者疾病的严重程度和衡量重症监护病房的表现非常重要。
Morbidity, mortality, and length-of-stay outcomes in patients receiving critical care are difficult to interpret unless they are risk-stratified for diagnosis, presenting severity of illness, and other patient characteristics. Acuity adjustment systems for adults include the Acute Physiology And Chronic Health Evaluation (APACHE), the Mortality Probability Model (MPM), and the Simplified Acute Physiology Score (SAPS). All have recently been updated and recalibrated to reflect contemporary results. Specialized scores are also available for patient subpopulations where general acuity scores have drawbacks. Demand for outcomes data is likely to grow with pay-for-performance initiatives as well as for routine clinical, prognostic, administrative, and research applications. It is important for clinicians to understand how these scores are derived and how they are properly applied to quantify patient severity of illness and benchmark intensive care unit performance.