Skau T, Nyström P O, Carlsson C
Arch Surg. 1985 Feb;120(2):152-8. doi: 10.1001/archsurg.1985.01390260022004.
The severity of illness in 58 surgical patients with high-grade intra-abdominal infection was measured with two methods, an acute physiology score and a septic severity score. Both methods are the summed weight of derangements in physiologic factors representing the function of the major organ systems of the body. Sixteen patients died (28%). Score values with both methods were significantly higher for nonsurvivors than for survivors. There was good interrelation between the methods, and the scores correlated better with mortality than did age, chronic disease, anatomy, or cause. Three risk levels were recognized, low, high, and intermediate, with respective mortality rates of less than 10%, greater than 80%, and approximately 45%. Three-fourths of the patients were assigned to the same risk group with both methods. The severity of illness in patients with intra-abdominal infection can suitably be measured with both methods.
采用两种方法对58例患有严重腹腔内感染的外科患者的疾病严重程度进行了测量，即急性生理学评分和脓毒症严重程度评分。这两种方法都是代表身体主要器官系统功能的生理因素紊乱的加权总和。16例患者死亡（28%）。两种方法的评分值在非幸存者中均显著高于幸存者。两种方法之间存在良好的相关性，且评分与死亡率的相关性优于年龄、慢性病、解剖结构或病因。确定了三个风险水平，低、高和中等，相应的死亡率分别低于10%、高于80%和约45%。四分之三的患者用两种方法被归为同一风险组。腹腔内感染患者的疾病严重程度可以用这两种方法进行适当测量。
