logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  1. Patient outcome and intensive care resource allocation using APACHE II.

    Article - En anglais

    A prospective study of seventy consecutive admissions to the Medical Intensive Care Unit (MICU) of a local hospital over a five-month period was conducted with the aim of developing objective criteria for critical care resource allocation.

    Patients gaining admission were subjected to APACHE II scoring and their progress followed till they recovered from their illness or perished.

    The mean APACHE 11 score of patients who recovered from their illness or perished were 12.96 and 28.52 respectively (p<0.001). 91.5% of all patients who recovered had an APACHE II score of below 21 whereas 82.6% of those who died had an APACHE II score of more than 23.

    Males generally had poorer outcome than females [47% mortality vs 8% (p<0.001) although their mean ages were comparable [47.6 years vs 46.6 years respectively (p=0.85) J. The mean APACHE II scores of male and female patients were significantly different [male=20.6 vs female=13.6 (p<0.005) ] and this partly accounted for the poorer outcome of males.

    The APACHE II score has considerable predictive value on the final outcome of patients admitted to the MICU.

    When ICU beds are short, the allocation of such beds may be made with consideration of the APACHE II Score which identifies the patient who is most likely to benefit from ICU care.

    Mots-clés Pascal : Unité soin intensif, Aide diagnostic, Allocation ressource, Budget, Homme, Singapour, Asie, Economie santé

    Mots-clés Pascal anglais : Intensive care unit, Diagnostic aid, Resource allocation, Budget, Human, Singapore, Asia, Health economy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0070016

    Code Inist : 002B30A01A2. Création : 21/05/1997.