Neugebauer E, Lefering R, Bouillon B
Biochemische und Experimentelle Abteilung, Universität zu Köln.
Langenbecks Arch Chir Suppl Kongressbd. 1996;113:293-8.
The utility of scoring systems in intensive care and emergency medicine has been approved for the classification of severity of diseases, quality assurance and cost performance of patient groups. There are obvious methodological pitfalls in using probabilities of mortality, which are estimates of risk of death, to predict specific outcomes for individual patients. They can only be used as a supplement to clinical decision making. Use of daily scoring systems can help in the description of the disease course of patients under treatment (trend analysis).
评分系统在重症监护和急诊医学中的作用已被认可,可用于疾病严重程度分类、患者群体的质量保证和成本效益分析。使用死亡率概率(即死亡风险的估计值)来预测个体患者的特定结局存在明显的方法缺陷。它们只能作为临床决策的补充。使用每日评分系统有助于描述接受治疗患者的病程(趋势分析)。