Clinical review: Scoring systems in the critically ill

被引:379
作者
Vincent, Jean-Louis [1 ]
Moreno, Rui [2 ]
机构
[1] Erasme Univ Hosp, Dept Intens Care, B-1070 Brussels, Belgium
[2] Ctr Hosp Lisboa Cent, Hosp St Antonio Capuchos, Dept Intens Care, EPE, P-1169050 Lisbon, Portugal
来源
CRITICAL CARE | 2010年 / 14卷 / 02期
关键词
INTENSIVE-CARE-UNIT; MULTIPLE ORGAN DYSFUNCTION; CHRONIC HEALTH EVALUATION; FAILURE ASSESSMENT SCORE; STANDARDIZED MORTALITY RATIO; ACUTE PHYSIOLOGY SCORE; LENGTH-OF-STAY; HOSPITAL MORTALITY; RISK PREDICTION; SOFA SCORE;
D O I
10.1186/cc8204
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
General illness severity scores are widely used in the ICU to predict outcome, characterize disease severity and degree of organ dysfunction, and assess resource use. In this article we review the most commonly used scoring systems in each of these three groups. We examine the history of the development of the initial major systems in each group, discuss the construction of subsequent versions, and, when available, provide recent comparative data regarding their performance. Importantly, the different types of scores should be seen as complementary, rather than competitive and mutually exclusive. It is possible that their combined use could provide a more accurate indication of disease severity and prognosis. All these scoring systems will need to be updated with time as ICU populations change and new diagnostic, therapeutic and prognostic techniques become available.
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页数:9
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