Analysis of resource use and cost-generating factors in a German medical intensive care unit employing the Therapeutic Intervention Scoring System (TISS-28)
Analysis of resource use and cost-generating factors in a German medical intensive care unit employing the Therapeutic Intervention Scoring System (TISS-28)
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DOI：
10.1007/s00134-001-1201-6
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发表时间：
2002-03-01
影响因子：
38.9
通讯作者：
Janssens, U
中科院分区：
文献类型：
--
作者：
Graf, J;Graf, C;Janssens, U
目的：使用简化的治疗干预评分系统（TISS-218）评价重症监护病房（ICU）的资源使用和成本。设计：前瞻性观察性研究。设置：三级护理中心的医学ICU。患者：ICU住院时间（LOS）超过24小时的连续性患者。干预措施：在3个月的时间内，每天测定SAPS II、TISS-28和SOFA。根据TISS-28变量将患者回顾性分类为接受主动（AT）或非主动（NAT）治疗，AT代表不能在ICU外进行的治疗干预。所有患者的个人支出均采用改良的“自上而下”方法计算。测量和结果：在303例连续患者中，241例（79.5%）（包括所有非幸存者）被归类为AT。住院病死率为14.5%。接受AT的患者TISS-28和ICU LOS较高（p
Objective: Evaluation of resource use and costs of a medical intensive care unit (ICU) utilising the simplified Therapeutic Intervention Scoring System (TISS-218). Design: Prospective observational study. Setting: Medical ICU of a tertiary care centre. Patients: Consecutive patients with an ICU length of stay (LOS) more than 24 h. Interventions: Over a 3 month period SAPS II, TISS-28 and SOFA were determined daily. Patients were retrospectively classified as receiving active (AT) or non-active (NAT) treatment according to TISS-28 variables, with AT representing a therapeutic intervention that could not be performed outside the ICU. Individual expenditure for all patients was calculated using, a modified 'top-down' method. Measurements and results: Out of 303 consecutive patients, 241 (79.5%), including all non-survivors, were categorised AT. The hospital mortality was 14.5%. TISS-28 and ICU LOS were higher in patients receiving AT (p