To evaluate the ability of an interdisciplinary data set (recently defined by the Austrian Working Group for the Standardization of a Documentation System for Intensive Care [ASDI]) to assess intensive care units (ICUs) by means of the Simplified Acute Physiology Score II (SAPS II) for the severity of illness and the simplified Therapeutic Intervention Scoring System (TISS-28) for the level of provided care.
A prospective, multicentric study.
Nine adult medical, surgical, and mixed ICUs in Austria.
A total of 1234 patients consecutively admltted to the ICUs.
Collection of data for the ASDI data set.
The overall mean SAPS II score was 33.1 ± 2.1 points.
SAPS II overestimated hospital mortality by predicting mortality of 22.2% ± 2.9%, whereas observed mortality was only 16.8% ± 2.2%. The Hosmer-Leme-show goodness-of-fit test for SAPS II scores showed lacking uniformity of fit (H=53.78,8 degrees of freedom ; p<. 0001).
TISS-28 scores were recorded on 8616 days (30.6 ± 1.5 points).
TISS-28 scores were higher in nonsurvivors than in survivors (30.4 ± 0.9 vs. 25.7 ± 0.4, respectively ; p<. 05).
No significant correlation between mean TISS-28 per patient per unit on the day of admission and mean predicted hospital mortality (r2=23 ; p<. 54) or standardized mortality ratio per unit (r2=-22 ; p<. 56) was found. (...)
Mots-clés Pascal : Unité soin intensif, Evaluation, Interdisciplinaire, Base donnée, Gravité, Maladie, Soin intensif, Performance, Contrôle qualité, Homme
Mots-clés Pascal anglais : Intensive care unit, Evaluation, Interdisciplinary field, Database, Gravity, Disease, Intensive care, Performance, Quality control, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0479349
Code Inist : 002B27B14C. Création : 22/03/2000.