nach oben

Intensive Care Medicine

Erschienen in:

01.12.2005 | Seminal Study

The use of severity scores in the intensive care unit

verfasst von: Jean-Roger Le Gall

Erschienen in: Intensive Care Medicine | Ausgabe 12/2005

Einloggen, um Zugang zu erhalten

Excerpt

Around 1980 several intensivists decided to score the severity of ICU patients in order to compare the populations and evaluate the results. The outcome of intensive care depends on several factors present on the first day in the ICU and on the patient’s course under ICU therapy. The severity scores comprise usually two parts: the score itself and a probability model. The score itself is a number (the highest number, the highest severity). The probability model is an equation giving the probability of hospital death of the patients. This seminal comprise two parts: the classification of the scores and their practical use. …

Knaus WA, Draper EA, Wagner DP, Zimmerman JE (1985) APACHE II: a severity of disease classification system. Crit Care Med 13:818–829PubMed

Knaus WA, Wagner DP, Draper EA, Zimmerman JE, Bergner M, Bastos PG, Sirio CA, Murphy DJ, Lotring T, Damiano A (1991) The APACHE III prognostic system: risk prediction of hospital mortality for critically ill hospitalized adults. Chest 100:1619–1636PubMed

Le Gall J-R, Lemeshow S, Saulnier F (1994) A new Simplified Acute Physiology Score (SAPS II) based in European/North American multicenter study. JAMA 270:2957–2963

Lemeshow S, Klar J, Teres D, Avrunin JS, Gehlbach SH, Rapoport J, Rue (1994) Mortality probability models for patients in the intensive care unit for 48 or 72 hours: a prospective multicenter study. Crit Care Med 22:1351–1358PubMed

Aergerter P, Boumendil A, Retbi A, Minvielle E, Dervaux B, Guidet B (2005) SAPS II revisited. Intensive Care Med 31:416–423CrossRefPubMed

Le Gall JR, Neumann A, Hemery F, Bleriot JP, Fulgencio JP, Garrigues B, Gouzes C, Lepage E, Moine P, Villers D (2005) Mortality prediction using the SAPS II: an update for French ICUs. Critical Care Med 9:R645–R652CrossRef

Metnitz PGH, Moreno RP, Almeida E, Jordan B, Bauer P, Abizanda-Campos R, Iapichino G, Edbrooke D, Capuzzo M, Le Gall JR on behalf of the SAPS 3 investigators (2005) SAPS 3 – From evaluation of the patient to evaluation of the intensive care unit. Part 1: Objectives, methods and cohort description. Intensive Care Med 31:1336–1344CrossRefPubMed

Moreno RP, Metnitz PGH, Almeida E, Jordan B, Bauer P, Abizanda-Campos R, Iapichino G, Edbrooke D, Capuzzo M, Le Gall JR on behalf of the SAPS 3 investigators (2005) SAPS 3 – From evaluation of the patient to evaluation of the intensive care unit. Part 2. Objectives, methods and cohort description. Intensive Care Med 31:1345–1355CrossRefPubMed

Knaus WA, Draper EA, Wagner DP, Zimmerman JE (1985) Prognosis in acute organ-system failure. Arch Surg 202:685–693

10.

Fagon JY, Chastre J, Novara A, Medioni P, Gibert C (1993) Characterization of intensive care unit patients using a model based on the presence or absence of organ dysfunctions and/or infection: the ODIN model. Intensive Care Med 19:137–144CrossRefPubMed

11.

Vincent JL, de Mendonca A, Cantraine F, Moreno R, Takala J, Suter PM, Sprung CL, Colardyn F, Blecher S (1998) Use of organ dysfunction/failure in intensive care units: results of a multicenter, prospective study. Crit Care Med 26:1793–1890PubMed

12.

Marshall J, Cook DJ, Christou NU, Bernard GR, Sprung CL, Sibbald WJ (1995) Multiple organ dysfunction score: a reliable description of a complex clinical outcome. Crit Care Med 23:1638–1652CrossRefPubMed

13.

Le Gall J-R, Klar J, Lemeshow S, Saulnier F, Alberti C (1996) The logistic organ dysfunction system. A new way to assess organ dysfunction in the intensive care unit. JAMA 276:802–810CrossRefPubMed

14.

Timsit JF, Fosse JP, Troché G, De Lassence A, Alberti C, Garrouste-Orgeas M, Azoulay E, Chevret S, Moine P, Cohen Y (2001) Accuracy of a composite score using daily SAPS II and LOD scores for predicting hospital mortality in ICU patients hospitalized for more than 72 h. Intensive Care Med 27:1012–1021CrossRefPubMed

15.

Lemeshow S, Le Gall JR (1994) Modeling the severity of illness of ICU patients. JAMA 272:1049–1055CrossRefPubMed

16.

Hosmer DW, Lemeshow S (1989) Applied logistic regression. Wiley, New York

17.

Hanley JA, Mc Neil BJ (1982) The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology 143:29–36PubMed

18.

Le Gall J-R, Lemeshow S, Leleu G, Klar J, Huillard J, Montserra R, Teres D, Artigas A for Intensive Care Unit Scoring Group (1995) Customized probability models for early severe sepsis adult intensive care patients. JAMA 273:644–650CrossRefPubMed

19.

Teres D, Lemeshow S (1994) Why severity models should be used with caution. Crit Care Clin 10:93–110PubMed

20.

Meyer AA, Messick WJ, Young R, Backer CC, Fakhry S, Muakkassa F, Rutherford EJ, Napolitano LM, Rutledge R (1992) Prospective comparison of clinical judgement and APACHE II score in predicting the outcome in critically ill surgical patients. J Trauma 32:747–753PubMed

21.

Knaus WA, Wagner DP, Zimmerman JE, Draper EA (1993) Variation in mortality and length of stay in intensive care units. Ann Intern Med 118:753–761PubMed

22.

Le Gall J-R, Artigas A, Lemeshow S, Saulnier F, Avrunin J (1993) Une comparaison internationale des unités de réanimation (abstract). Reanimation Soins Intensifs Med Urgence 6:656

23.

Pittet D, Thievent B, Wenzel RC, Gurman G, Sutter PM (1993) Importance of preexisting comorbidities for prognosis of septicemia in critically ill patients. Intensive Care Med 19:265–272CrossRefPubMed

24.

Knaus WA, Sun X, Nystrom Pr, Wagner DP (1992) Evaluation of definitions for sepsis. Chest 101:1656–1662PubMed

25.

Knaus WA, Harrel FE, Fisher CJ Jr, Wagner DP, Opal SM, Sadoff JC, Draper EA, Walawander CA, Conboy K, Grasela TH (1993) The clinical evaluation of new drugs for sepsis: a prospective study design based on survival analysis. JAMA 270:1233–1241CrossRefPubMed

26.

Loirat P (1994) Critique of existing scoring systems: admission scores. Reanation Soins Intensifs Med Urgence 3:173–175

27.

Selker HP (1993) Systems for comparing actual and predicted mortality rates: characteristics to promote cooperation in improving hospital care. Ann Intern Med 118:820–822PubMed

Titel: The use of severity scores in the intensive care unit
verfasst von: Jean-Roger Le Gall
Publikationsdatum: 01.12.2005
Verlag: Springer-Verlag
Erschienen in: Intensive Care Medicine / Ausgabe 12/2005
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-005-2825-8

Update AINS

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

hier abonnieren

Springer Medizin

The use of severity scores in the intensive care unit

Excerpt

Neu im Fachgebiet AINS

Akuter Schwindel: Wann lohnt sich eine MRT?

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Hinter dieser Appendizitis steckte ein Erreger

Ärztliche Empathie hilft gegen Rückenschmerzen

Update AINS

Springer Medizin

Excerpt

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 12/2005

Pressure-rate products and phase angles in children on minimal support ventilation and after extubation

The attributable mortality of acute renal failure in critically ill patients with liver cirrhosis

Fluid balance and weaning outcomes

A nationwide survey of intensive care unit discharge practices

Differential cardiovascular responses during weaning failure: effects on tissue oxygenation and lactate

Comment on “A new device for administration of continuous positive airway pressure in preterm infants” by Trevisanuto et al.

Neu im Fachgebiet AINS

Akuter Schwindel: Wann lohnt sich eine MRT?

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Hinter dieser Appendizitis steckte ein Erreger

Ärztliche Empathie hilft gegen Rückenschmerzen

Update AINS