Evaluation of predicted and actual length of stay in 22 Scottish intensive care units using the APACHE III system

作者: A. W. Woods , F. N. MacKirdy , B. M. Livingston , J. Norrie , J. C. Howie

DOI: 10.1046/J.1365-2044.2000.01552.X

关键词:

摘要: The most recent edition of the Acute Physiology and Chronic Health Evaluation provides a prediction intensive care unit length stay in addition to probability hospital mortality. Intensive is an important determinant costs may be indicator quality care. Data were collected from 22 Scottish units over 2-year period allow comparison actual with that predicted by III system. Correlation between for individual patients was poor. However, performance model patients, grouped either or unit, indicated stratified patient groups appropriately while demonstrating consistent bias. Length found consistently lower than which based on practice USA. Variations severity illness populations cannot readily explain differences stay. availability capable predicting stay, data reflecting UK, would compliment current methods assessing effectiveness

参考文章(12)
M G Seneff, R B Becker, T L Higgins, D P Wagner, W A Knaus, E A Draper, F D Loop, F G Estafanous, J E Zimmerman, The use of APACHE III to evaluate ICU length of stay, resource use, and mortality after coronary artery by-pass surgery. Journal of Cardiovascular Surgery. ,vol. 36, pp. 1- 11 ,(1995)
William A Knaus, Douglas P Wagner, Jack E Zimmerman, Elizabeth A Draper, Variations in Mortality and Length of Stay in Intensive Care Units Annals of Internal Medicine. ,vol. 118, pp. 753- 761 ,(1993) , 10.7326/0003-4819-118-10-199305150-00001
Charles Weissman, Analyzing intensive care unit length of stay data: problems and possible solutions. Critical Care Medicine. ,vol. 25, pp. 1594- 1600 ,(1997) , 10.1097/00003246-199709000-00031
Brian M. Livingston, Fiona N. MacKirdy, J. Cameron Howie, Ray Jones, John D. Norrie, Assessment of the performance of five intensive care scoring models within a large Scottish database Critical Care Medicine. ,vol. 28, pp. 1820- 1827 ,(2000) , 10.1097/00003246-200006000-00023
S. Ridley, S. Jones, A. Shahani, W. Brampton, M. Nielsen, K. Rowan, Classification treesA possible method for iso‐resource grouping in intensive care Anaesthesia. ,vol. 53, pp. 833- 840 ,(1998) , 10.1046/J.1365-2044.1998.T01-1-00564.X