Severity of illness and organ failure assessment in adult intensive care units.
The critical care community has been using severity and organ failure assessment tools for over 2 decades. The major adult severity assessment models are Acute Physiology and Chronic Health Evaluation, Simplified Acute Physiology Score, and Mortality Probability Model. All three recent versions of these models perform well in predicting hospital mortality. Sequential Organ Failure Assessment score is the most used tool for assessment of multiple organ failure. These tools have been used extensively in clinical research involving critically ill patients and for benchmarking and the measurement of performance improvement. Their roles as clinical decision support tools at the bedside await future studies because of their unknown or poor performance at the individual patient level.
Afessa
Bekele
B
Division of Pulmonary and Critical Care Medicine, Mayo Clinic College of Medicine, 200 First Street, SW, Rochester, MN 55905, USA. afessa.bekele@mayo.edu
Gajic
Ognjen
O
Keegan
Mark T
MT
D018806:APACHE; D000328:Adult; D019985:Benchmarking; D016638:Critical Illness / Q000145:classification*; D020000:Decision Support Systems, Clinical; D017052:Hospital Mortality; D006801:Humans; D007362:Intensive Care Units / Q000191:economics / Q000706:statistics & numerical data; D009102:Multiple Organ Failure / Q000175:diagnosis / Q000401:mortality; D017063:Outcome Assessment, Health Care / Q000379:methods*; D011379:Prognosis; D018570:Risk Assessment; D012720:Severity of Illness Index