PMID- 8373120
OWN - NLM
STAT- MEDLINE
DCOM- 19931008
LR  - 20200825
IS  - 0304-4602 (Print)
IS  - 0304-4602 (Linking)
VI  - 22
IP  - 3
DP  - 1993 May
TI  - Critical care medicine--a review of the outcome prediction in critical care.
PG  - 360-4
AB  - Predicting the outcome of critically ill patients has undergone considerable 
      evolution over the last two decades. Economic constraints require the channelling 
      of resources and efforts to patients with reasonable chances of survival. This 
      paper reviews the development of the Therapeutic Intervention Score (TISS), 
      Simplified Acute Physiological Score (SAPS), Acute Physiological And Chronic 
      Health Evaluation (APACHE) Score and Mortality Prediction Model (MPM) systems 
      which have been extensively validated for large groups of critical care patients 
      with mixed diagnoses and found to correlate well with observed outcome in 
      general. They allow evaluation of new therapies, monitoring of resource 
      utilisation and quality assessment of intensive care units. The issues 
      surrounding the use of the APACHE score from the literature are discussed. 
      Estimation of specific individual mortality risks have not been as successful as 
      that for large groups of critical care patients in general using the available 
      prognostic scores and until better systems are available, clinical decisions on 
      any individual outcome should not be based on any prognostic score alone.
FAU - Chen, F G
AU  - Chen FG
AD  - Department of Anaesthesia, National University of Singapore.
FAU - Khoo, S T
AU  - Khoo ST
LA  - eng
PT  - Journal Article
PT  - Review
PL  - Singapore
TA  - Ann Acad Med Singap
JT  - Annals of the Academy of Medicine, Singapore
JID - 7503289
SB  - IM
MH  - *Critical Care/statistics & numerical data
MH  - Hospital Mortality
MH  - Humans
MH  - Intensive Care Units
MH  - *Outcome and Process Assessment, Health Care/statistics & numerical data
MH  - Patient Admission/statistics & numerical data
MH  - Prognosis
MH  - Risk Factors
MH  - Severity of Illness Index
MH  - Singapore
RF  - 37
EDAT- 1993/05/01 00:00
MHDA- 1993/05/01 00:01
CRDT- 1993/05/01 00:00
PHST- 1993/05/01 00:00 [pubmed]
PHST- 1993/05/01 00:01 [medline]
PHST- 1993/05/01 00:00 [entrez]
PST - ppublish
SO  - Ann Acad Med Singap. 1993 May;22(3):360-4.