tailieunhanh - Báo cáo khoa học: "A modified McCabe score for stratification of patients after intensive care unit discharge: the Sabadell score"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: A modified McCabe score for stratification of patients after intensive care unit discharge: the Sabadell score. | Available online http content 10 6 R179 Research A modified McCabe score for stratification of patients after intensive care unit discharge the Sabadell score Rafael Fernandez1 Francisco Baigorri1 Gema Navarro2 and Antonio Artigas1 Critical Care Centre Hospital de Sabadell Parc Taulí s n. 08208 Sabadell Spain 2Department of Epidemiology Hospital de Sabadell Sabadell Spain Corresponding author Rafael Fernandez rfernandez@ Received 28 Jul 2006 Revisions requested 23 Aug 2006 Revisions received 15 Nov 2006 Accepted 27 Dec 2006 Published 27 Dec 2006 Critical Care 2006 10 R179 doi cc5136 This article is online at http content 10 6 R1 79 2006 Fernandez et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Open Access Abstract Introduction Mortality in the ward after an intensive care unit ICU stay is considered a quality parameter and is described as a source of avoidable mortality. Additionally the attending intensivist frequently anticipates fatal outcome after ICU discharge. Our objective was to test the ability of a new score to stratify patients according to ward mortality after ICU discharge. Methods A prospective cohort study was performed in the general ICU of a university-affiliated hospital. In 2003 and 2004 we prospectively recorded the attending intensivist s subjective prognosis at ICU discharge about the hospital outcome for each patient admitted to the ICU the Sabadell score which was later compared with the real hospital outcome. Results We studied 1 521 patients with a mean age of years. The median 25-75 percentile ICU stay was five three to nine days. The ICU mortality was with 1 156 patients being discharged to the ward. Post-ICU ward mortality was .

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