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重症监护病房(ICU)患者严重程度调整死亡率的价值与局限性

The value and limits of severity adjusted mortality for ICU patients.

作者信息

Teres Daniel

机构信息

Department of Community Health and Family Medicine, Tufts University, School of Medicine, 1172 Central Ave, Needham, MA 02492, USA.

出版信息

J Crit Care. 2004 Dec;19(4):257-63. doi: 10.1016/j.jcrc.2004.08.007.

DOI:10.1016/j.jcrc.2004.08.007
PMID:15648043
Abstract

Intensive care unit (ICU) data systems serve a variety of valuable functions for ICU directors, quality-of-care managers, safety officers and health service researchers. Although controversial, severity adjusted mortality cross-linked with resource measures may provide additional value when comparisons are made to similar types of ICUs. This article describes several options for improving the standardized mortality ratio. An essential ingredient for fostering wider application of ICU data systems is through automated information technology to assure high quality data input and to minimize the burden of manual data collection effort.

摘要

重症监护病房(ICU)数据系统对ICU主任、护理质量管理人员、安全官员和卫生服务研究人员具有多种重要功能。尽管存在争议,但在与类似类型的ICU进行比较时,将严重程度调整后的死亡率与资源指标相联系可能会提供额外价值。本文介绍了几种改善标准化死亡率的方法。促进ICU数据系统更广泛应用的一个关键因素是通过自动化信息技术来确保高质量的数据输入,并将人工数据收集工作的负担降至最低。

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