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Ned Tijdschr Geneeskd · Aug 1991
[Measurement of the quality of care for surgical patients in an intensive care unit in a peripheral hospital].
- J G van der Hoeven, W H Steup, R M Valentijn, and P J Breslau.
- Afd. Interne Geneeskunde, Rode Kruis Ziekenhuis, Den Haag.
- Ned Tijdschr Geneeskd. 1991 Aug 3; 135 (31): 1407-10.
ObjectiveTo determine the quality of care in an intensive care unit.DesignProspective investigation for one year. Comparison with results from the literature.SettingSurgical intensive care unit of a community hospital.PatientsMeasurement of the APACHE-II-score was performed on days 1, 3 and 7 in all surgical intensive care unit patients admitted during a one-year period. The predicted mortality from the literature was compared with the actual mortality in our hospital.ResultsA total of 301 patients were admitted to the intensive care unit. Overall mortality was 9%. All the patients with an APACHE II score above 25 on admission died. The actual mortality was comparable with the predicted mortality from the literature.ConclusionThe APACHE II score can be used to determine the quality of care in an intensive care unit. Early prediction of a bad prognosis makes transportation to a more specialized hospital possible, before irreversible organ damage develops.
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