准确的死亡预测。临床医生面临的机遇与挑战。
Accurate prognostications of death. Opportunities and challenges for clinicians.
作者信息
Lynn J, Teno J M, Harrell F E
机构信息
Center to Improve Care of the Dying, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
出版信息
West J Med. 1995 Sep;163(3):250-7.
Abstract
Linking survival time to an array of prognostic variables through a powerful statistical model can provide reliable, valid and potentially useful information for patient care. We present a summary of the recently developed SUPPORT model [Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment] for estimating survival time of seriously ill adult inpatients and illustrate the possible clinical use of such a model. This model is then translated into counseling. Clinicians are positioned to evaluate the relevance and validity of any model and to understand their persistent shortcomings.
摘要
通过一个强大的统计模型将生存时间与一系列预后变量联系起来，可以为患者护理提供可靠、有效且可能有用的信息。我们总结了最近开发的SUPPORT模型[了解治疗结果和风险的预后及偏好研究]，用于估计重症成年住院患者的生存时间，并举例说明该模型可能的临床应用。然后将这个模型转化为咨询内容。临床医生有能力评估任何模型的相关性和有效性，并了解其持续存在的缺点。
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