| Serial measurement of Therapeutic Intervention Scoring System-28 (TISS-28) in a surgical intensive care unit. | |
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MedLine Citation:
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PMID: 20442008 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: The aim of the study was to assess the use of the Therapeutic Intervention Scoring System-28 (TISS-28) in surgical intensive care unit (ICU) patients and the relationship of the score to the type of surgery, severity of illness, and outcome in these patients. MATERIALS AND METHODS: Prospectively collected data from all patients admitted to a postoperative ICU between March 1, 2004, and June 30, 2006, were analyzed retrospectively. RESULTS: A total of 6903 patients were admitted during the study period (63.5% male; mean age, 62.3 years) constituting 29 140 observation days. The mean Simplified Acute Physiology Score (SAPS) II, Sequential Organ Failure Assessment (SOFA), and TISS-28 scores on the day of ICU admission were 36.9 ± 18.2, 5.8 ± 3.9, and 43.2 ± 10.8, respectively. The highest admission TISS-28 was observed in patients who underwent cardiothoracic surgery (47.7 ± 10.1), the lowest in neurosurgical patients (40 ± 9.6), and both declined during the 2 weeks after ICU admission; however, in trauma patients and those admitted after gastrointestinal surgery, TISS scores increased gradually after the first 2 to 5 days in the ICU. The TISS-28 score was moderately correlated to SAPS II (R(2) = 0.42; P < .001) and SOFA score (R(2) = 0.48; P < .001) throughout the ICU stay and was consistently higher in nonsurvivors than in survivors during the first 2 weeks in the ICU. CONCLUSIONS: There are marked variations in TISS-28 scores according to the type of surgery. Therapeutic Intervention Scoring System-28 correlates with the severity of illness and outcome in these patients. |
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Authors:
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Norman Muehler; Janaina Oishi; Martin Specht; Florian Rissner; Konrad Reinhart; Yasser Sakr |
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Publication Detail:
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Type: Journal Article Date: 2010-05-04 |
Journal Detail:
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Title: Journal of critical care Volume: 25 ISSN: 1557-8615 ISO Abbreviation: J Crit Care Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2010-11-26 Completed Date: 2011-01-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8610642 Medline TA: J Crit Care Country: United States |
Other Details:
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Languages: eng Pagination: 620-7 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Anesthesiology and Intensive Care, Friedrich-Schiller University Hospital, Jena 07743, Germany. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Female Hospital Mortality* Humans Intensive Care* Intensive Care Units Male Middle Aged Postoperative Period Retrospective Studies Severity of Illness Index* Surgical Procedures, Operative / classification*, mortality Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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