Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Prognostic scores in intensive care]

K Unertl1, B M Kottler

  • 1Universitätsklinik für Anaesthesiologie, Eberhard-Karls-Universität, Tübingen.

Der Anaesthesist
|June 1, 1997
PubMed
Summary

Prognostic scoring systems in intensive care medicine have evolved significantly, aiding in patient assessment and clinical trial stratification. While valuable for predicting hospital mortality, these scores require individual hospital calibration and have limitations in clinical decision-making.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Short-acting P2Y12 blockade to reduce platelet dysfunction and coagulopathy during experimental extracorporeal circulation and hypothermia.

British journal of anaesthesia·2012
Same author

[Volume replacement in intensive care medicine].

Der Anaesthesist·2011
Same author

[Management of complex thrombocytopenia with thrombelastometry : a case of simultaneous posttransfusion purpura and heparin-induced thrombocytopenia].

Der Anaesthesist·2010
Same author

[Intraoperative echocardiography: impact on surgical decision-making].

Der Anaesthesist·2009
Same author

[Memantine and Complex Regional Pain Syndrome (CRPS): effects of treatment and cortical reorganisation].

Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...·2006
Same author

[Perioperative echocardiography: basic principles].

Der Anaesthesist·2006

Area of Science:

  • Intensive care medicine
  • Medical informatics
  • Biostatistics

Context:

  • Prognostic scoring systems have evolved since the 1980s, utilizing larger databases and international validation.
  • These scores are crucial for assessing illness severity, stratifying patients for clinical trials, and evaluating patient outcomes and survival.
  • Validated time points for predicting hospital mortality in ICU patients include admission and 24 hours post-admission.

Purpose:

  • To review the development, application, and limitations of prognostic scoring systems in intensive care medicine.
  • To highlight the utility of scores like APACHE, SAPS, MPM, and TISS in various clinical and research settings.
  • To discuss the need for calibration, potential improvements, and the future role of technology in prognostic scoring.

Summary:

  • Prognostic scores, including general (APACHE, SAPS, MPM) and specific (Trauma Score, PRISM) models, assist in evaluating patient severity and outcomes.
  • Therapeutic Intervention Scoring System (TISS) and Hannover Intensive Score (HIS) measure medical therapy intensity and resource use.
  • Scores require hospital-specific calibration for accurate application and have limitations in individual patient decision-making due to current sensitivity issues.

Impact:

  • Illness severity scores are essential tools for quality assessment, cost-benefit analysis, and comparing outcomes, but not for individual patient triage or life support decisions.
  • Future advancements in computer technology and automated data entry from ICU monitors promise to enhance the daily availability and utility of prognostic scores.
  • While not indicative of absolute irreversibility, improved validation and integration of quality of life measures will enhance the value of prognostic scoring systems.

Related Experiment Videos