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首页> 外文期刊>Current Surgery >Risk scoring in perioperative and surgical intensive care patients: a review.
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Risk scoring in perioperative and surgical intensive care patients: a review.

机译：围手术期和外科重症监护患者的风险评分：综述。

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摘要

PURPOSE: Assessing the risk and predicting the outcome of surgery, trauma, and surgical intensive care is an important aspect of perioperative practice. There have been attempts to devise and validate many scoring systems to predict the prognosis of patients having a similar severity of illness. This article reviews some of the commonly used systems with respect to their development, strengths, and limitations. SOURCES: Published literature describing risk assessment scores and physiologic scoring systems for preoperative assessment, trauma, and surgical intensive care patients. PRINCIPAL FINDINGS: Risk scores used in preoperative evaluation assist the clinician in optimizing the patient before, during, and after surgery. Scoring systems applied in intensive care units are useful as guidelines rather than accurate predictors of prognosis for individual patient. Many models are used for audit purposes, and some are used as performance measures and quality indicators of a unit; however, both utilities are controversial because of poor adjustment of these systems to case-mixtures. CONCLUSIONS: Risk assessment scores may assist in the perioperative risk evaluation with respect to organ systems. Prognostication of critically ill patients belonging to a category of illness may be done using physiological scoring systems taking into account the difference in the case-mix of the particular unit.
机译：目的：评估围手术期实践的重要方面是评估风险，预测手术，创伤和外科重症监护的结果。已经尝试设计和验证许多评分系统以预测具有相似疾病严重程度的患者的预后。本文就其发展，优势和局限性，回顾了一些常用的系统。资料来源：已发表的文献描述了术前评估，创伤和外科重症监护患者的风险评估评分和生理评分系统。主要发现：术前评估中使用的风险评分有助于临床医生在手术前后，手术中和术后优化患者。重症监护病房中应用的评分系统可用作指导，而不是单个患者预后的准确预测指标。许多模型用于审计目的，有些模型用作单位的绩效指标和质量指标;但是，由于这些系统对案例混合的调整不佳，因此这两个实用程序都存在争议。结论：风险评估分数可能有助于围手术期器官系统风险评估。考虑到特定单位病例组合的差异，可以使用生理评分系统对属于疾病类别的重症患者进行预后。

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