Richardson D K, Tarnow-Mordi W O, Escobar G J
Joint Program in Neonatology, Beth Israel Deaconess Medical Center, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Clin Perinatol. 1998 Sep;25(3):591-611.
Physiology-based illness severity scores are proving their value through a wide variety of practical applications. The theoretical disadvantages noted in Table 1 have not turned out to be major problems, whereas the advantages have been quite real. Numerous studies have reported insightful comparisons between treatment groups, between NICUs, between countries, between eras, and over the course of care. Many institutions have implemented routine collection of physiology-based newborn scores. The answer to the question posed in the title is yes; neonatal risk scoring systems can predict some mortality and some morbidity. However, it is clear that this function is much less important than their application as a means of improving quality and cost. Future development will depend on commercially viable applications.
基于生理学的疾病严重程度评分正在通过各种各样的实际应用证明其价值。表1中提到的理论缺点并未成为主要问题，而优点却实实在在。许多研究报告了治疗组之间、新生儿重症监护病房之间、国家之间、不同时代之间以及整个护理过程中的有见地的比较。许多机构已经实施了基于生理学的新生儿评分的常规收集。标题中提出的问题的答案是肯定的；新生儿风险评分系统可以预测一些死亡率和一些发病率。然而，很明显，这个功能远不如它们作为提高质量和成本的手段的应用重要。未来的发展将取决于商业上可行的应用。
