Linder M M, Krawczyk T, Lenz G
Allgemein-, Thorax- und Gefässchirurgie, Klinikum Ingolstadt.
Langenbecks Arch Chir Suppl Kongressbd. 1996;113:299-302.
Thirty-six postoperative patients of the department for general, thoracic and vascular surgery were treated in the ICU during November 1995. APACHE-II-Scores were prospectively monitored daily. All three patients with considerable deterioration (> = 2) of this score succumbed. During 6 weeks starting in January 1996 the Hannover-Intensive-Score was documented in all 14 patients requiring ICU-treatment for 3 days or more: three patients died; two without considerable change, one with improvement of this score. Numerical changes of both scores did not precede clinical changes. Thus neither score system replaces or even significantly supports clinical judgement in a field like general surgery with an inhomogenous group of patients.
1995年11月，普通外科、胸外科和血管外科的36名术后患者在重症监护病房接受治疗。前瞻性地每日监测急性生理与慢性健康状况评分系统（APACHE-II）。该评分有显著恶化（≥2）的所有3名患者均死亡。从1996年1月开始的6周内，对所有14名需要在重症监护病房治疗3天或更长时间的患者记录了汉诺威重症评分：3名患者死亡；2名患者评分无显著变化，1名患者评分有所改善。两个评分的数值变化均未先于临床变化。因此，在患者群体各异的普通外科领域，这两种评分系统都不能取代甚至显著支持临床判断。
