Shabot M M, Bjerke H S, LoBue M, Leyerle B J
Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California.
Proc Annu Symp Comput Appl Med Care. 1991:554-8.
In 1985 we developed a method of automatically extracting indices of severity of illness and intensity of interventions from CIS charts daily. These indices, when combined with outcome measures such as length of stay and mortality, provide a powerful new tool for quality management in the ICU. In this paper we describe our ICU's severity adjusted survival rates as compared to internationally publish norms. In addition we provide a detailed analysis of glucose levels in our ICU, which suggests that glucose control in surgical ICU patients is more closely related to measured severity of illness than administration of intravenous alimentation per se. CIS extracted indices provide a new basis for continuous quality measurement and improvement in the ICU.
1985年，我们开发了一种每天从CIS图表中自动提取疾病严重程度和干预强度指标的方法。这些指标与诸如住院时间和死亡率等结果指标相结合，为重症监护病房（ICU）的质量管理提供了一个强大的新工具。在本文中，我们描述了我们ICU的严重程度调整后的生存率，并与国际公布的标准进行了比较。此外，我们还对我们ICU中的血糖水平进行了详细分析，这表明外科ICU患者的血糖控制与所测量的疾病严重程度的关系比静脉营养本身的给药更为密切。CIS提取的指标为ICU持续质量测量和改进提供了新的基础。
