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[Prognostic systems in intensive care: general principles, development, and clinical applications]
1Cadeira de Medicina III-A e Serviço de Medicina IV, Hospital de Santa Maria, Lisboa.
Acta Medica Portuguesa
|February 1, 1993
Summary
Prognostic scoring systems like APACHE, SAPS, and MPM are crucial in Intensive Care Medicine. These tools aid clinical decisions, resource allocation, and patient randomization in clinical studies.
Area of Science:
- Critical Care Medicine
- Medical Informatics
- Biostatistics
Context:
- Intensive Care Medicine (ICM) requires objective methods for patient assessment.
- Clinical decision-making and resource allocation are complex in critical care settings.
- Standardized patient stratification is essential for clinical research and trials.
Purpose:
- To review the necessity and principles of prognostic scoring in Intensive Care Medicine.
- To present and discuss established scoring systems: APACHE, SAPS, and MPM.
- To evaluate the utility of these prognostic tools in clinical practice and research.
Summary:
- This review highlights the importance of prognostic scoring in Intensive Care Medicine.
- It details the general principles and introduces key scoring systems: APACHE, SAPS, and MPM.
- The application of these systems for decision support, resource management, and patient randomization is examined.
Impact:
- Provides a comprehensive overview of prognostic scoring in ICM.
- Facilitates informed medical decision-making and efficient resource allocation.
- Enhances the rigor and comparability of clinical studies through patient stratification.