ICU scoring systems

Quintairos, Amanda; Pilcher, David; Salluh, Jorge I.

doi:10.1007/s00134-022-06914-8

Cited by 24 publications

(15 citation statements)

References 14 publications

(14 reference statements)

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“…Scoring systems determine predicted mortality based on initial severity at ICU admission therefore as we admit patients that are almost certainly expected to die, we may increase SMRs being inaccurate in the actual ICU performance evaluation. It is well-recognized that scoring systems often perform suboptimally when analyzing less heterogeneous populations such as sepsis, COVID-19, and transplant among others (3). However, when analyzing mixed ICUs, the impact of specific populations on SMRs also depends on the number of cases, the baseline ICU case mix, and the overall mortality of its population.…”

Section: To the Editormentioning

confidence: 99%

“…Anssi Pölkki, MD 1,2 André Moser, PhD 3 Rahul Raj, MD, PhD 4 Jukka Takala, MD, PhD 5 Stepani Bendel, MD, PhD 1 Stephan M. Jakob, MD, PhD 5 Matti Reinikainen, MD, PhD 1,2 The authors reply: W e thank Amado et al (1,2) for their interest in our study on the effects of potential organ donors (PODs) on standardized mortality ratios (SMRs) and benchmarking of ICUs. We agree with Amado et al (2) that SMRs are useful in evaluating ICU performance.…”

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confidence: 99%

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Case-Mix and the Limitations of Standardized Mortality Ratios for ICU Performance and Benchmarking

Amado,

Quintairos,

Salluh

2024

Critical Care Medicine

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Section: To the Editormentioning

confidence: 99%

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confidence: 99%

Case-Mix and the Limitations of Standardized Mortality Ratios for ICU Performance and Benchmarking

Amado,

Quintairos,

Salluh

2024

Critical Care Medicine

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“…Part of the initial goal of CQRs was to evaluate ICU performance and benchmarking results and, several studies have been performed on the topic advancing the knowledge of performance metrics, scores, and outlier identification (6,(50)(51)(52). Such studies have been extensively reviewed elsewhere and are beyond the scope of the present article (18,50,53). Quality of care extends beyond evaluating standardized mortality rates.…”

Section: Key Pointsmentioning

confidence: 99%

National ICU Registries as Enablers of Clinical Research and Quality Improvement

Salluh,

Quintairos,

Dongelmans

et al. 2023

Critical Care Medicine

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Objectives: Clinical quality registries (CQRs) have been implemented worldwide by several medical specialties aiming to generate a better characterization of epidemiology, treatments, and outcomes of patients. National ICU registries were created almost 3 decades ago to improve the understanding of case-mix, resource use, and outcomes of critically ill patients. This narrative review describes the challenges, proposed solutions, and evidence generated by National ICU registries as facilitators for research and quality improvement. Data Sources: English language articles were identified in PubMed using phrases related to ICU registries, CQRs, outcomes, and case-mix. Study Selection: Original research, review articles, letters, and commentaries, were considered. Data Extraction: Data from relevant literature were identified, reviewed, and integrated into a concise narrative review. Data Synthesis: CQRs have been implemented worldwide by several medical specialties aiming to generate a better characterization of epidemiology, treatments, and outcomes of patients. National ICU registries were created almost 3 decades ago to improve the understanding of case-mix, resource use, and outcomes of critically ill patients. The initial experience in European countries and in Oceania ensured that through locally generated data, ICUs could assess their performances by using risk-adjusted measures and compare their results through fair and validated benchmarking metrics with other ICUs contributing to the CQR. The accomplishment of these initiatives, coupled with the increasing adoption of information technology, resulted in a broad geographic expansion of CQRs as well as their use in quality improvement studies, clinical trials as well as international comparisons, and benchmarking for ICUs. Conclusions: ICU registries have provided increased knowledge of case-mix and outcomes of ICU patients based on real-world data and contributed to improve care delivery through quality improvement initiatives and trials. Recent increases in adoption of new technologies (i.e., cloud-based structures, artificial intelligence, machine learning) will ensure a broader and better use of data for epidemiology, healthcare policies, quality improvement, and clinical trials.

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“…(Jeroen Vandenbrande) Sementara yang paling umum digunakan pada pasien-pasien sepsis adalah Sequential Organ Failure Assessment (SOFA) yang dikembangkan untuk menentukan derajat kegagalan organ, untuk stratifikasi risiko khususnya pada pasien dengan sepsis, dan untuk memantau respons terhadap pengobatan. [27] Sistem skor penyakit kritis merupakan penilaian derajat keparahan penyakit berdasarkan data spesifik yang diambil ketika perawatan. Skor APACHE II merupakan berdasarkan pada nilainilai objektif fisiologis dari variabel-variabel yang diukur selama perawatan, memberikan gambaran keadaan sebelum masuk, luaran pasien dan lama perawatan [28], sehingga diperlukan penelitian lebih lanjut mengenai karakteristik yang lain untuk memberikan pemahaman yang lebih komprehensif.…”

Section: Pembahasanunclassified

Characteristics of ICU and Operating Room Patients at Satellite Hospitals Study Program Anesthesiology and Intensive Care Faculty of Medicine Universitas Sumatera Utara

Primaputra Lubis,

Irina,

Ginting

2023

ABDIMAS

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Characteristics patient of admission to the intensive care unit and operating room are needed for better team development and achievement competence. The purpose of this study was to describe the characteristics of critical patients in the intensive critical unit and operating room. This research method is quantitative with a descriptive design using secondary data. The data were obtained from the medical records of the ICU of the public hospitals in Sibolga City, Central Tapanuli Regency and Padangsidempuan City. The results of research in the ICU showed that the majority of critical patients were female (51.17%), aged 56-65 years (25.76%), primary diagnoses of disorders of the neurological system (24.36%), and the patient's prognosis moved to the emergency room. treated or referred (61.31%). The results of the study in the operating room found that the majority of the sexes were male (54.20%), the largest sample aged 56-65 years (31.52). The most common surgical procedures were surgery on the nervous system (42, 86). The prognosis of patients after surgery is that more patients are transferred to the ward or ICU (57.14%) However, further research is needed on other characteristics to provide a more comprehensive understanding.

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ICU scoring systems

Cited by 24 publications

References 14 publications

Case-Mix and the Limitations of Standardized Mortality Ratios for ICU Performance and Benchmarking

Case-Mix and the Limitations of Standardized Mortality Ratios for ICU Performance and Benchmarking

National ICU Registries as Enablers of Clinical Research and Quality Improvement

Characteristics of ICU and Operating Room Patients at Satellite Hospitals Study Program Anesthesiology and Intensive Care Faculty of Medicine Universitas Sumatera Utara

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