University Health Network, Toronto, Ontario, Canada.
Crit Care. 2009;13(4):168. doi: 10.1186/cc7944. Epub 2009 Jul 20.
Physicians are biased and imprecise, but we are better at predicting mortality in the intensive care unit than any mathematical model currently available. But even if we were flawless prognosticators, we would still be left with the larger ethical problem of what to do with prognostic information. In order to translate prognosis into recommendation, we need to know about patient values.
医生是有偏见和不精确的,但我们在预测重症监护病房的死亡率方面比任何现有的数学模型都要好。但即使我们是完美的预后预测者,我们仍然会面临更大的伦理问题,即如何处理预后信息。为了将预后转化为建议,我们需要了解患者的价值观。