Goldhill D R, Sumner A
Anaesthetics Unit, St Bartholomew's, London, UK.
Anaesthesia. 1998 Oct;53(10):937-43. doi: 10.1046/j.1365-2044.1998.00534.x.
From review of 122 intensive care charts, Acute Physiology and Chronic Health Evaluation (APACHE) II points were determined for eight physiological values. Using a strict interpretation of APACHE II criteria, an average of 20.6% of these points were higher and 6.7% lower than the points entered originally into an intensive care database. The resulting 1.73 points mean increase in APACHE II score increased predicted mortality from 24.8% to 27.8% and decreased the mortality ratio (observed hospital deaths devided by predicted deaths) from 1.52 (95% confidence interval: 1.11-2.03) to 1.35 (95% confidence interval: 0.99-1.81). There were few errors entering the data recorded on the audit form into the intensive care unit database with an optical mark reader and keyboard. Inaccuracy and inconsistency in data collection must be excluded before differences in mortality ratios are ascribed to intensive care unit performance.
通过回顾122份重症监护病历，确定了八个生理值的急性生理学与慢性健康状况评估（APACHE）II分值。按照对APACHE II标准的严格解读，这些分值中平均有20.6%偏高，6.7%偏低，相较于最初录入重症监护数据库的分值。由此导致的APACHE II评分平均增加1.73分，使预测死亡率从24.8%升至27.8%，并使死亡率比值（观察到的医院死亡人数除以预测死亡人数）从1.52（95%置信区间：1.11 - 2.03）降至1.35（95%置信区间：0.99 - 1.81）。使用光学标记读取器和键盘将审核表上记录的数据录入重症监护病房数据库时，录入错误很少。在将死亡率比值的差异归因于重症监护病房的表现之前，必须排除数据收集的不准确和不一致情况。
