CRIB II:对婴儿临床风险指数的更新
Gareth Parry1, Janet Tucker, William Tarnow-Mordi
1Medical Care Research Unit, School of Health and Related Research, University of Sheffield, Regent Court, 30 Regent Street, S1 4DA, Sheffield, UK. g.parry@sheffield.ac.uk <g.parry@sheffield.ac.uk>
Lancet (London, England)
|June 5, 2003
概括
为新生儿重症监护开发了一个新的临床风险指数婴儿II (CRIB II) 评分,提供了一个更简单,重新校准的系统. 这个更新的工具解决了对原始CRIB评分的担忧.
科学领域:
- 新生儿重症监护室新生儿重症监护室
- 儿科风险评估儿童的风险评估.
- 临床流行病学临床流行病学
背景情况:
- 婴儿临床风险指数 (CRIB) 评分是新生儿重症监护中风险调整的标准工具.
- 有关原始CRIB评分与当前患者数据的适当性存在担忧.
- 评估和更新风险调整工具对于准确的新生儿护理质量评估至关重要.
研究的目的:
- 为了检查当前CRIB评分的适当性.
- 开发和验证一个新的,简化的新生儿重症监护风险调整得分.
- 评估随着时间的推移新生儿死亡率的趋势.
主要方法:
- 开发新的五项CRIB II评分,使用1998 - 1999年接受新生儿重症监护的婴儿的英国范围样本.
- 重新校准和简化分数系统.
- 在12年的时间里,对新生儿重症监护中的死亡率趋势的分析.
主要成果:
- 开发并验证了一个新的五项CRIB II评分.
- 与原来的CRIB相比,CRIB II评分提供了一个重新校准和简化的系统.
- 在过去12年中,新生儿重症监护后的死亡率有所下降.
- 新的得分避免了与早期治疗偏差相关的潜在问题.
结论:
- 克里布II评分为新生儿重症监护中的风险调整提供了一种有效和简化的方法.
- 准确的风险调整对于评估新生儿护理质量至关重要.
- 未来的评估应在国家审计系统中整合发病率和死亡率的措施.
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