TITLE

Evaluation of Single Intensive Care Unit Performance by Simplified Acute Physiology Score II System

AUTHOR(S)
Deša, Kristian; Šustić, Alan; Župan, Željko; Krstulović, Božidar; Golubovič, Vesna
PUB. DATE
December 2005
SOURCE
Croatian Medical Journal;2005, Vol. 46 Issue 6, p964
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Aim To evaluate effectiveness and quality of care in a single intensive care unit (ICU) by the Simplified Acute Physiology Score II (SAPS II). Methods A prospective study included 395 patients from the ICU at Rijeka University Hospital, Croatia. The sum of the SAPS II points was used for calculating predicted mortality for each patient. The observed death rate was compared with predicted mortality calculated by SAPS II system. The ability of the SAPS II prognostic system to predict probability of hospital mortality was assessed with discrimination (receiver operating characteristic [ROC] curve) and calibration (Hosmer-Lemeshow test) measures. Results The SAPS II score on the first ICU day was low (median, 20; range, 3-83). SAPS II system showed a good ability to separate the patients predicted to live from those predicted to die, as shown by an area under the ROC curve of 0.827. The calibration curve demonstrated under-prediction of the actual death rate (Hosmer-Lemeshow goodness-of-fit test, C=22.961; df=8; P=0.003). The observed mortality was higher than predicted (observed-to-predicted ratio was 1.6). Conclusions SAPS II system is a useful tool for the assessment of ICU performance. This system demonstrated a good ability of discrimination, but an under-prediction of the actual mortality rate in our ICU.
ACCESSION #
19141857

 

Related Articles

  • Morbidity Profile and Mortality of Neonates Admitted in Neonatal Intensive Care Unit of a Central India Teaching Institute: A Prospective Observational Study. Malik, Shikha; Gohiya, Poorva; Khan, Iraj Alam // Journal of Clinical Neonatology;Jul-Sep2016, Vol. 5 Issue 3, p168 

    Introduction: Neonatal mortality contributes to 40% of infant mortality rate (IMR). Over the years, the IMR has reduced worldwide, as well as in India, but neonatal mortality rate has not decreased proportionately. We have taken up this study so as to ascertain the causes of morbidity prevalent...

  • Interobserver variability of the measurement of the mortality probability models (MPM II) in the assessment of severity of illness. Rué, M.; Valero, C.; Quintana, S.; Artigas, A.; Álvarez, M. // Intensive Care Medicine;Mar2000, Vol. 26 Issue 3, p286 

    Objective: To assess the interobserver variability of the measurement of the MPM II system.¶Design: Random sample of an inception cohort.¶Setting: Fifteen adult medical and surgical intensive care units (ICUs) in Spain.¶Patients: A 5 % random sample (n = 119) of 2332 patients...

  • Staffing levels stop mortality rising on children's ITU at weekends. Kmietowicz, Zosia // BMJ: British Medical Journal;5/11/2013, Vol. 346 Issue 7907, p2 

    The article cites a study which found that children admitted to intensive care units as out-of-hours emergencies in England and Wales had the same chance of survival as those admitted during normal working hours because these wards have consultant input and specialist staff round the clock. The...

  • The Surviving Sepsis Campaign: results of an international guideline-based performance improvement program targeting severe sepsis. Levy, Mitchell M.; Dellinger, R. Phillip; Townsend, Sean R.; Linde-Zwirble, Walter T.; Marshall, John C.; Bion, Julian; Schorr, Christa; Artigas, Antonio; Ramsay, Graham; Beale, Richard; Parker, Margaret M.; Gerlach, Herwig; Reinhart, Konrad; Silva, Eliezer; Harvey, Maurene; Regan, Susan; Angus, Derek C. // Intensive Care Medicine;Feb2010, Vol. 36 Issue 2, p222 

    The Surviving Sepsis Campaign (SSC or “the Campaign”) developed guidelines for management of severe sepsis and septic shock. A performance improvement initiative targeted changing clinical behavior (process improvement) via bundles based on key SSC guideline recommendations on...

  • 4 Main. Cummings, Beth-Ann // CMAJ: Canadian Medical Association Journal;10/11/2005, Vol. 173 Issue 8, p917 

    Presents the author's views on making rounds at the 4 Main palliative care unit at night. Description of the palliative care unit; Encounters with death during her watch; Problem with 4 Main.

  • PCT managers work on wards to cut costs.  // GP: General Practitioner;3/4/2002, p7 

    Reports the addition of work of PCT managers on hospital wards to help colleagues deliver care in Great Britain. Creation of recovery plan to avoid debt; Extension of effort to help out ward staff; Introduction of cost-cutting measures.

  • Recommendations to improve healthcare of neonates with respiratory insufficiency beneficiaries of Seguro Popular. Jasso-Gutiérrez, Luis; Durán-Arenas, Luis; Flores-Huerta, Samuel; Cortés-Gallo, Gabriel // Salud Pública de México;2012 supplement 1, Vol. 54, pS57 

    Objective. To evaluate the structure and processes of care of neonatal intensive care units (NICU) providing health care to neonates with respiratory insufficiency, and financed by Seguro Popular. Materials and Methods. A cross-sectional design was used; 21 NICU were included. Information was...

  • Current management and outcome of tracheobronchial malacia and stenosis presenting to the paediatric intensive care unit. Inwald, David P.; Roebuck, Derek; Elliott, Martin J.; Mok, Quen // Intensive Care Medicine;Apr2001, Vol. 27 Issue 4, p722 

    Objective: To identify factors associated with mortality and prolonged ventilatory requirements in patients admitted to our paediatric intensive care unit (PICU) with tracheobronchial malacia and stenosis diagnosed by dynamic contrast bronchograms. Design: Retrospective review. Setting: Tertiary...

  • Bioelectrical impedance phase angle in septic patients admitted to intensive care units. Berbigier, Marina Carvalho; Pasinato, Valeska Fernandes; Almeida Rubin, Bibiana de; Moraes, Rafael Barberena; Schweigert Perry, Ingrid Dalira // Revista Brasileira de Terapia Intensiva;Jan-Mar2013, Vol. 25 Issue 1, p25 

    Objective: To calculate the values of the phase angle of septic patients using bioelectrical impedance analysis, correlate the values with clinical and biochemical variables, and compare them to reference values. Methods: Cohort study conducted with 50 septic patients aged ⩾18 years old,...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics