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Scoring Systems and Outcome Prediction

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Surgical Intensive Care Medicine

Abstract

While the population ages and scrutiny increases, patients and their families’ expectations remain high that they will survive intensive care and have a functional future. Clinical practitioners are often called upon to provide solace and prognosticate about their patients’ likelihood for meaningful survival. Not only does the individual patient and practitioner yearn for this information, but there is a growing need to respond to pressures applied by payors including the federal government through the measurement of pertinent clinical quality outcomes. Early attempts to comparatively benchmark performance were hampered by the absence of meaningful adjustments for the severity of illness. However, many efforts to incorporate comorbidities and chronic diseases into the picture of acute physiologic derangement to more accurately describe acuity and, perhaps, to improve forecasting have facilitated broad discussions about patient outcomes and provider performance. The information revolution, as represented by the World Wide Web, now allows global interchange of this type of information as evidenced by such sites as www.healthgrades.com and www.cmscience.com.

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Authors and Affiliations

  1. Baptist Medical Center, Jacksonville, FL, 32207, USA

    Keith L. Stein M.D., F.C.C.M., F.C.C.P.

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  1. Keith L. Stein M.D., F.C.C.M., F.C.C.P.
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Editors and Affiliations

  1. Surgical Intensive Care Unit, Department of Surgical Critical Care, Lahey Clinic Medical Center, Burlington, MA, USA

    John Merritt O’Donnell M.D. (Director, Chairman) (Director, Chairman)

  2. Department of Surgical Critical Care, Lahey Clinic Medical Center, Burlington, MA, USA

    Flávio Eduardo Nácul M.D. (Senior Fellow) (Senior Fellow)

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Stein, K.L. (2001). Scoring Systems and Outcome Prediction. In: O’Donnell, J.M., Nácul, F.E. (eds) Surgical Intensive Care Medicine. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-6645-5_54

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  • DOI: https://doi.org/10.1007/978-1-4757-6645-5_54

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