lnterhospital comparisons of patient outcome from intensive care

Dragsted, L; Jørgensen, Jesper; Jensen, Niels-henrik; E, Bønsing; Jacobsen, Erik; Knaus, William A.; Qvist, J

doi:10.1097/00003246-198905000-00008

Cited by 164 publications

(56 citation statements)

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“…A number of factors may have interfered in the assessment of APACHE II, such as the type of assistance to patient before hospital admission 30 and delayed transfer to Intensive Care 31 . Particularly in developing countries, those factors are not to be underestimated.…”

Section: Terzi Et Al Severe Heart Failure At Intensive Therapy Unit -mentioning

confidence: 99%

Insuficiência cardíaca grave em unidade de terapia intensiva: existe um índice prognóstico ideal?

Terzi

Lage

Dragosavac

et al. 2006

Arq. Bras. Cardiol.

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Section: Terzi Et Al Severe Heart Failure At Intensive Therapy Unit -mentioning

confidence: 99%

Insuficiência cardíaca grave em unidade de terapia intensiva: existe um índice prognóstico ideal?

Terzi

Lage

Dragosavac

et al. 2006

Arq. Bras. Cardiol.

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“…8,9 Dragsted et al 9 explained this as a 'lead-time' bias. Lead-time bias occurs when populations start appropriate interventions at different times in the course of an illness.…”

Section: Introductionmentioning

confidence: 99%

Predictors of mortality and length of stay for neonates admitted to children's hospital neonatal intensive care units

et al. 2007

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Objective: Current scoring systems, which adjust prediction for severity of illness, do not account for higher observed mortality in neonatal intensive care units (NICUs) of children's hospitals than that of perinatal centers. We hypothesized that three potential predictors, (a) admission from another NICU, (b) presence of congenital anomalies and (c) need for surgery, would modify expected mortality and/or length of stay for infants admitted to NICUs in children's hospitals.Study Design: We reviewed consecutive admissions to two NICUs in children's hospitals in Canada. We performed regression analyses to evaluate these potential predictors and severity-of-illness indices for the outcomes of mortality and length of stay.Result: Of 625 neonatal admissions, transfer from another NICU, congenital anomalies requiring admission and surgery were identified in 371 (59%). Using logistic regression, mortality was predicted based on admission from another NICU (odds ratio (OR) 1.92; 95% confidence interval (CI) 1.04, 3.57), congenital anomalies (OR 7.28; 95% CI 3.69, 14.36) and a validated severity-of-illness score, the Score for Neonatal Acute Physiology Perinatal Extension Version II (SNAPPE-II; OR 1.07; 95% CI 1.05, 1.09 per point). By contrast, surgical intervention was predictive of survival (OR 0.35; 95% CI 0.18, 0.67). Length of stay X21 days was predicted by SNAPPE-II (OR 1.02; 95% CI 1.01, 1.03 per point), congenital anomalies (OR 2.47; 95% CI 1.60, 3.79) and surgery (OR 2.73; 95% CI 1.77, 4.21).Conclusion: Fair performance comparisons of NICUs with different casemixes, such as children's hospital and perinatal NICUs, in addition to severity-of-illness indices, should account for admissions from another NICU, congenital anomalies and surgery.

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“…Es decir, que no sirve para tomar una decisión individual, pero nos da una idea de cómo puede evolucionar nuestro paciente. Otra de las características novedosas e importantes de esta escala, es que por primera vez se incluye el tiempo que el paciente se encuentra en la planta previo a su hospitalización en UCI, evitando así el problema conocido como "lead time bias" 13,14 . El SAPS 3 incorpora además tres tipos de variables distintas relacionadas con el diagnóstico y que condicionan marcadamente el pronóstico.…”

Section: Tipos De Escalas De Gravedadunclassified

Valoración del Euroscore y SAPS III como predictor de mortalidad hospitalaria en el postoperatorio de cirugía cardiaca

Mateos-Pañero

Sánchez-Casado

Castaño-Moreira

et al. 2017

Revista Española de Anestesiología y Reanimación

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lnterhospital comparisons of patient outcome from intensive care

Cited by 164 publications

References 0 publications

Insuficiência cardíaca grave em unidade de terapia intensiva: existe um índice prognóstico ideal?

Insuficiência cardíaca grave em unidade de terapia intensiva: existe um índice prognóstico ideal?

Predictors of mortality and length of stay for neonates admitted to children's hospital neonatal intensive care units

Valoración del Euroscore y SAPS III como predictor de mortalidad hospitalaria en el postoperatorio de cirugía cardiaca

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