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Chapter 5 - Scoring systems and outcome

from Section I: - Specific features of critical care medicine

Published online by Cambridge University Press:  06 July 2010

Edited by
Edited in association with
Fang Gao Smith
Affiliation:
University of Warwick
Joyce Yeung
Affiliation:
West Midlands Deanery
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Summary

This chapter discusses the different types of scoring systems that include specific, generic, anatomical and functional scoring systems. The measurement of outcome is important as considerable resources are expended in providing intensive care. Outcome in intensive care can be measured with respect to mortality, morbidity, disability and quality of life. There are many influences on outcome which can be broadly grouped into patient factors, disease factors and intensive care factors. The process by which a scoring system becomes an outcome probability model is through multiple logistic regression. The scoring systems in common use in critical care include the Acute Physiology and Chronic Health Evaluation (APACHE), Simplified Acute Physiology Score (SAPS), Mortality Probability Model (MPM), Sequential Organ Failure Assessment (SOFA), Trauma and Injury Severity Score (TRISS), and the ASCOT. These scores can also be used on trauma patients in all settings.
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Publisher: Cambridge University Press
Print publication year: 2010

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