Articles: critical-care.
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With the rapid expansion of knowledge and techniques for the care of critically ill patients, the organization and recording of data have become increasingly complex and increasingly important for patient care. A flow sheet for the Neurosurgical Intensive Care Unit has been developed in a series of pilot studies with input from general and cardiovascular surgeons and nurses specializing in critical care medicine.
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Critical care medicine · Aug 1982
Assessment of pediatric intensive care--application of the Therapeutic Intervention Scoring System.
There are few reports analyzing the results of intensive care for children. We evaluated quantitatively the amount of care required in our multidisciplinary pediatric ICU using the Therapeutic Intervention Scoring System (TISS) and assessed qualitatively the severity of illness using the Clinical Classification System (CCS). Over a 6-month period, there were 323 patients (99 CCS Class II, 83 Class III, 141 Class IV) whose overall mortality at 1-month follow-up was 10% (Class II, 0%; Class III 2%; Class IV, 23%). ⋯ The mortality of our Class IV patients was lower than a comparable adult population with similar TISS scores; however, the TISS regression slopes for Class IV patients were similar. We conclude that CCS and TISS are both useful for describing the pediatric intensive care patient population. TISS is particularly helpful in assessing the amount of care received as well as providing a means of evaluating severity of illness.