Predicting outcome in intensive therapy units―a comparison of Apache II with subjective assessments
In a prospective study 568 patients admitted to a mixed medical and surgical intensive therapy unit (ITU) were assessed using the Apache II severity of illness score to predict outcome. Their outcome was also predicted subjectively by a doctor and nurse on admission. There were 260 deaths in the gro...
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| Veröffentlicht in: | Intensive care medicine 1991-01, Vol.17 (3), p.159-163 |
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| container_end_page | 163 |
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| container_issue | 3 |
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| container_title | Intensive care medicine |
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| creator | MARKS, R. J SIMONS, R. S BLIZZARD, R. A BROWNE, D. R. G |
| description | In a prospective study 568 patients admitted to a mixed medical and surgical intensive therapy unit (ITU) were assessed using the Apache II severity of illness score to predict outcome. Their outcome was also predicted subjectively by a doctor and nurse on admission. There were 260 deaths in the group. The subjective predictions were compared with the Apache II predictions using logistic regression analysis and receiver-operating-characteristic curve measurement. The subjective assessments were found to be a more powerful predictor of outcome in this group of patients than the Apache II scores and predicted risk of death. Although the predictions could be successfully applied to the population as a whole, none of the tests were suitable for predicting outcome on an individual patient. |
| doi_str_mv | 10.1007/BF01704720 |
| format | Article |
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Emergency, hospital ward</subject><subject>Intensive Care Units</subject><subject>Medical sciences</subject><subject>Medical Staff, Hospital - psychology</subject><subject>Mortality</subject><subject>Nursing Assessment - standards</subject><subject>Predictive Value of Tests</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Sensitivity and Specificity</subject><subject>Severity of Illness Index</subject><issn>0342-4642</issn><issn>1432-1238</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkMtKA0EQRRtRND427oVeiAthtF-ZxzIGowFBF7oeKp0a0yHzsKtHyc6f8Af9ElsSFAqq4J66VF3GTqW4kkJk1zcTITNhMiV22EAarRKpdL7LBkIblZjUqAN2SLQUEUuHcp_tK5HFUQ8YPnmcOxtc88rbPti2Ru6aWAEbcu_IwwI9dGveNy7Q9-cX8Mh04B21DW8rPurALpBPp_zDhQWnfrbEaBc3gQiJamwCHbO9ClaEJ9t-xF4mt8_j--Th8W46Hj0kVksZkniVqjSASOM3MM_zIh1qM1PWQqrAIlqbz6NqVWGqAvKiwqIAZaRRFWY400fsYuPb-fatRwpl7cjiagUNtj2VeXTOszSN4OUGtL4l8liVnXc1-HUpRfmbafmfaYTPtq79rMb5H7oNMernWx3Iwqry0FhHf9hQZFrJof4BfpKAKg</recordid><startdate>19910101</startdate><enddate>19910101</enddate><creator>MARKS, R. 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Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Decision Making</topic><topic>Emergency and intensive care: techniques, logistics</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Intensive care unit. Emergency transport systems. Emergency, hospital ward</topic><topic>Intensive Care Units</topic><topic>Medical sciences</topic><topic>Medical Staff, Hospital - psychology</topic><topic>Mortality</topic><topic>Nursing Assessment - standards</topic><topic>Predictive Value of Tests</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Sensitivity and Specificity</topic><topic>Severity of Illness Index</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MARKS, R. J</creatorcontrib><creatorcontrib>SIMONS, R. S</creatorcontrib><creatorcontrib>BLIZZARD, R. A</creatorcontrib><creatorcontrib>BROWNE, D. R. 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G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predicting outcome in intensive therapy units―a comparison of Apache II with subjective assessments</atitle><jtitle>Intensive care medicine</jtitle><addtitle>Intensive Care Med</addtitle><date>1991-01-01</date><risdate>1991</risdate><volume>17</volume><issue>3</issue><spage>159</spage><epage>163</epage><pages>159-163</pages><issn>0342-4642</issn><eissn>1432-1238</eissn><coden>ICMED9</coden><abstract>In a prospective study 568 patients admitted to a mixed medical and surgical intensive therapy unit (ITU) were assessed using the Apache II severity of illness score to predict outcome. Their outcome was also predicted subjectively by a doctor and nurse on admission. There were 260 deaths in the group. The subjective predictions were compared with the Apache II predictions using logistic regression analysis and receiver-operating-characteristic curve measurement. 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| ispartof | Intensive care medicine, 1991-01, Vol.17 (3), p.159-163 |
| issn | 0342-4642 1432-1238 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Decision Making Emergency and intensive care: techniques, logistics Humans Intensive care medicine Intensive care unit. Emergency transport systems. Emergency, hospital ward Intensive Care Units Medical sciences Medical Staff, Hospital - psychology Mortality Nursing Assessment - standards Predictive Value of Tests Prognosis Prospective Studies Sensitivity and Specificity Severity of Illness Index |
| title | Predicting outcome in intensive therapy units―a comparison of Apache II with subjective assessments |
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