Bolívar Galiano V, Palomino Urda N, Azcón González de Aguilar P, Gualda Cantón J, Martínez Algar J L, Alvarez Momboisse M, Ortega Martos L
Departamento de Pediatría, Hospital Materno-Infantil, Ciudad Sanitaria Virgen de las Nieves, Granada.
An Esp Pediatr. 1992 Oct;37(4):311-4.
Eight-hundred and nine consecutive admissions have been reexamined by means of analysis of record cards made out at the moment of discharge from the ICU, in which, among other data, the TISS and PSI maximum for the first six hours from admission are included. The results obtained are the following: 50% of the admissions were classified as medium care (PSI < 5, TISS < 20), 28% were grade IV (PSI > 12, TISS > 40), and half were of grade III with a PSI of 9.38 and a TISS of 20.29. The overall mortality was 8.9%. However, the mortality for grades III+IV was 13.4% and gave a good correlation with the PSI, but not with the TISS. The PSI/TISS ratio was 0.45 and the predicted mortality rate according to the PSI was 6.1% for grade III and greater than 12% for grade IV. We conclude the following: (1) Of the illness, 28% were grade IV. (2) We observed a deficient PSI/TISS ratio. (3) The evaluation has to be done by objective means in which the capability of carrying out different methodologies has not been taken into account.
通过分析重症监护病房（ICU）出院时填写的记录卡，对连续809例入院病例进行了重新检查，记录卡中除其他数据外，还包括入院后头6小时的创伤和损伤严重度评分（TISS）及简化急性生理学评分（PSI）最大值。得到的结果如下：50%的入院病例被归类为中等护理（PSI＜5，TISS＜20），28%为IV级（PSI＞12，TISS＞40），半数为III级，PSI为9.38，TISS为20.29。总体死亡率为8.9%。然而，III + IV级的死亡率为13.4%，与PSI有良好相关性，但与TISS无相关性。PSI/TISS比值为0.45，根据PSI预测的死亡率，III级为6.1%，IV级大于12%。我们得出以下结论：（1）28%的疾病为IV级。（2）我们观察到PSI/TISS比值不足。（3）评估必须通过客观手段进行，其中未考虑执行不同方法的能力。
