Related Experiment Videos
[Objective evaluation of a pediatric intensive care unit without continuous attendance (I)]
V Bolívar Galiano1, N Palomino Urda, P Azcón González de Aguilar
1Departamento de Pediatría, Hospital Materno-Infantil, Ciudad Sanitaria Virgen de las Nieves, Granada.
Anales Espanoles De Pediatria
|October 1, 1992
Summary
This study on ICU admissions found that 28% were severe (grade IV), with mortality correlating better with the PIM2 Score (PSI) than the Therapeutic Intervention Scoring System (TISS). Objective evaluation methods are recommended.
Area of Science:
- Critical Care Medicine
- Health Services Research
Context:
- Analysis of 809 ICU admissions using record cards.
- Inclusion of Therapeutic Intervention Scoring System (TISS) and Pediatric Index of Mortality 2 (PIM2) Score (PSI) data from the first six hours.
- Assessment of patient severity and resource utilization.
Purpose:
- To reexamine ICU admission data.
- To evaluate the correlation between patient severity scores (PSI and TISS) and mortality.
- To identify potential deficiencies in patient assessment methodologies.
Summary:
- 50% of admissions were medium care (PSI < 5, TISS < 20).
- 28% were classified as grade IV (PSI > 12, TISS > 40).
- Overall mortality was 8.9%, with grades III+IV at 13.4%.
- PSI showed good correlation with mortality, TISS did not.
- A deficient PSI/TISS ratio was observed (0.45).
Impact:
- Highlights the prevalence of severe cases (grade IV) in ICU admissions.
- Suggests PSI is a more reliable predictor of mortality than TISS in this cohort.
- Recommends objective evaluation methods for ICU patient assessment, considering methodology capabilities.