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  1. Evaluation of an interdisciplinary data set for national intensive care unit assessment.

    Article - En anglais


    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.

    Measurements and Main Results 

    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

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

    Cote : 99-0479349

    Code Inist : 002B27B14C. Création : 22/03/2000.