[Significance of scores for therapy planning and evaluation of individual intensive care patients from the viewpoint of general surgery].
Thirty-six postoperative patients of the department for general, thoracic and vascular surgery were treated in the ICU during November 1995. APACHE-II-Scores were prospectively monitored daily. All three patients with considerable deterioration (> = 2) of this score succumbed. During 6 weeks starting in January 1996 the Hannover-Intensive-Score was documented in all 14 patients requiring ICU-treatment for 3 days or more: three patients died; two without considerable change, one with improvement of this score. Numerical changes of both scores did not precede clinical changes. Thus neither score system replaces or even significantly supports clinical judgement in a field like general surgery with an inhomogenous group of patients.
Linder
M M
MM
Allgemein-, Thorax- und Gefässchirurgie, Klinikum Ingolstadt.
Krawczyk
T
T
Lenz
G
G
D018806:APACHE; D002423:Cause of Death; D003422:Critical Care / Q000379:methods*; D006801:Humans; D010347:Patient Care Planning; D010348:Patient Care Team; D011183:Postoperative Complications / Q000145:classification / Q000401:mortality / Q000628:therapy*; D011379:Prognosis; D011446:Prospective Studies; D012720:Severity of Illness Index; D015996:Survival Rate
Die Bedeutung von Scores für die Therapieplanung und -beurteilung beim individuellen Intensivpatienten aus der Sicht der Allgemeinchirurgie.