title: [Scoring systems in intensive care medicine : principles, models, application and limits].
abstract: Scoring systems are used in all diagnostic areas of medicine. Several parameters are evaluated and rated with points according to their value in order to simplify a complex clinical situation with a score. The application ranges from the classification of disease severity through determining the number of staff for the intensive care unit (ICU) to the evaluation of new therapies under study conditions. Since the introduction of scoring systems in the 1980's a variety of different score models has been developed. The scoring systems that are employed in intensive care and are discussed in this article can be categorized into prognostic scores, expenses scores and disease-specific scores. Since the introduction of compulsory recording of two scoring systems for accounting in the German diagnosis-related groups (DRG) system, these tools have gained more importance for all intensive care physicians. Problems remain in the valid calculation of scores and interpretation of the results.
authors: Klinik für Anästhesiologie, Operative Intensivmedizin, Schmerztherapie, Universitätsklinikum Gießen und Marburg GmbH, Deutschland.
authors: V
authors: V
authors: Fleig
authors: F
authors: F
authors: Brenck
authors: M
authors: M
authors: Wolff
authors: M A
authors: MA
authors: Weigand
mesh_terms: D018806:APACHE; D003422:Critical Care / Q000592:standards* / Q000706:statistics & numerical data; D003953:Diagnosis-Related Groups; D015600:Glasgow Coma Scale; D006801:Humans; D007362:Intensive Care Units; D015233:Models, Statistical; D009102:Multiple Organ Failure / Q000175:diagnosis / Q000503:physiopathology; D009729:Nursing / Q000706:statistics & numerical data; D010147:Pain Measurement; D011237:Predictive Value of Tests; D011379:Prognosis; D015203:Reproducibility of Results; D012129:Respiratory Function Tests; D012720:Severity of Illness Index