Intensive Care Unit Scoring Systems.
Journal
Critical care nurse
ISSN: 1940-8250
Titre abrégé: Crit Care Nurse
Pays: United States
ID NLM: 8207799
Informations de publication
Date de publication:
01 Aug 2021
01 Aug 2021
Historique:
entrez:
1
8
2021
pubmed:
2
8
2021
medline:
26
11
2021
Statut:
ppublish
Résumé
Illness severity scoring systems are commonly used in critical care. When applied to the populations for whom they were developed and validated, these tools can facilitate mortality prediction and risk stratification, optimize resource use, and improve patient outcomes. To describe the characteristics and applications of the scoring systems most frequently applied to critically ill patients. A literature search was performed using MEDLINE to identify original articles on intensive care unit scoring systems published in the English language from 1980 to 2020. Search terms associated with critical care scoring systems were used alone or in combination to find relevant publications. Two types of scoring systems are most frequently applied to critically ill patients: those that predict risk of in-hospital mortality at the time of intensive care unit admission (Acute Physiology and Chronic Health Evaluation, Simplified Acute Physiology Score, and Mortality Probability Models) and those that assess and characterize current degree of organ dysfunction (Multiple Organ Dysfunction Score, Sequential Organ Failure Assessment, and Logistic Organ Dysfunction System). This article details these systems' differing features and timing of use, score calculation, patient populations, and comparative performance data. Critical care nurses must be aware of the strengths, limitations, and specific characteristics of severity scoring systems commonly used in intensive care unit patients to effectively employ these tools in clinical practice and critically appraise research findings based on their use.
Sections du résumé
BACKGROUND
BACKGROUND
Illness severity scoring systems are commonly used in critical care. When applied to the populations for whom they were developed and validated, these tools can facilitate mortality prediction and risk stratification, optimize resource use, and improve patient outcomes.
OBJECTIVE
OBJECTIVE
To describe the characteristics and applications of the scoring systems most frequently applied to critically ill patients.
METHODS
METHODS
A literature search was performed using MEDLINE to identify original articles on intensive care unit scoring systems published in the English language from 1980 to 2020. Search terms associated with critical care scoring systems were used alone or in combination to find relevant publications.
RESULTS
RESULTS
Two types of scoring systems are most frequently applied to critically ill patients: those that predict risk of in-hospital mortality at the time of intensive care unit admission (Acute Physiology and Chronic Health Evaluation, Simplified Acute Physiology Score, and Mortality Probability Models) and those that assess and characterize current degree of organ dysfunction (Multiple Organ Dysfunction Score, Sequential Organ Failure Assessment, and Logistic Organ Dysfunction System). This article details these systems' differing features and timing of use, score calculation, patient populations, and comparative performance data.
CONCLUSION
CONCLUSIONS
Critical care nurses must be aware of the strengths, limitations, and specific characteristics of severity scoring systems commonly used in intensive care unit patients to effectively employ these tools in clinical practice and critically appraise research findings based on their use.
Identifiants
pubmed: 34333619
pii: 31512
doi: 10.4037/ccn2021613
pmc: PMC8378550
mid: NIHMS1652618
doi:
Types de publication
Journal Article
Langues
eng
Pagination
54-64Subventions
Organisme : NINR NIH HHS
ID : F31 NR018102
Pays : United States
Organisme : NINR NIH HHS
ID : R01 NR013912
Pays : United States
Informations de copyright
©2021 American Association of Critical-Care Nurses.
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