Kox W J, Wauer H
Klinik für Anaesthesiologie und Intensivtherapie, Universitätsklinikum Charité, Humboldt-Universität zu Berlin.
Zentralbl Chir. 1996;121(7):515-20.
Over the last 30 years intensive care medicine has undergone drastic changes not only because of changes in patient population but also because of the progress in medical technology. Given that resources are finite and limited medical and socio-ethical principles should be applied for the distribution and withdrawal of these resources. Scoring systems can not only assist in this decision making process but also provide criteria for the termination of treatment in intensive care. Whilst in intensive care patients should be scored every day to identify as early as possible those patients who are going to die and those who are going to survive in order to use intensive care resources efficiently. After discharge from intensive care quality of life should be an important factor to assess intensive care performance.
在过去30年里，重症监护医学发生了巨大变化，这不仅是因为患者群体的改变，还因为医疗技术的进步。鉴于资源有限，在分配和撤减这些资源时应应用有限的医学和社会伦理原则。评分系统不仅可以协助这一决策过程，还能为重症监护中治疗的终止提供标准。在重症监护中，应每天对患者进行评分，以便尽早识别出那些即将死亡和即将存活的患者，从而有效地利用重症监护资源。从重症监护病房出院后，生活质量应成为评估重症监护绩效的一个重要因素。
