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Scoring-Systeme auf der Intensivtherapiestation

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Weiterbildung für Anästhesisten 2003

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Zusammenfassung

Scoring-Systeme sind sog.Schweregradklassifikationssysteme oder Punktsummensysteme, die darauf zielen,eine quantitative Aussage über den Schweregrad einer Erkrankung,ihre Prognose und deren Verlauf zu treffen.Darüber hinaus können sie zur Bewertung von Therapieverfahren, zur Qualitätskontrolle und -sicherung sowie zur ökonomischen Evaluation der Intensivtherapie eingesetzt werden.Wie alle Messverfahren unterliegen auch Scoring- Systeme verschiedenen Störeffekten und systematischen Fehlern,die dem Anwender geläufig sein sollten. Generell ist zu empfehlen,nur solche Systeme in der klinischen Praxis einzusetzen,die bezüglich ihrer Reliabilität,Validität und Praktikabilität gründlich evaluiert wurden und als geeignet gelten.Hierzu zählen die aktuellen Versionen des „APACHE“, des „SAPS“ und des „MPM“. Trotz vieler entscheidender Fortschritte bei der Entwicklung, Überprüfung und Anwendung sind auch heute noch Scoring-Systeme im Einzelfall mit einer so großen Unsicherheit behaftet,dass sie als Entscheidungsgrundlage für den individuellen Patienten nicht geeignet sind. In vielen Fällen kann es nützlich sein, die oben genannten Scoring-Systeme zusammen mit einem oder mehreren der zahlreichen zur Verfügung stehenden „Organdysfunktionsscores“ zu kombinieren, um das Ausmaß von Funktionsstörungen bestimmter Organe in Maß und Zahl zu fassen.

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Author information

Authors and Affiliations

  1. Klinik für Anästhesiologie und operative Intensivmedizin, Universitätsklinikum Charité, Medizinische Fakultät der Humboldt-Universität zu Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353, Berlin, Germany

    Priv.-Doz. Dr. K. Lewandowski & M. Lewandowski

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  1. Priv.-Doz. Dr. K. Lewandowski
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  2. M. Lewandowski
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Editor information

Editors and Affiliations

  1. Klinik für Anästhesiologie, Universität Heidelberg, Im Neuenheimer Feld 110, D-69120, Heidelberg

    Hubert J. Bardenheuer

  2. Klinik für Anästhesiologie und operative Intensivmedizin Zentralklinikum, Stenglinstraße 2, D-86156, Augsburg

    Helmuth Forst

  3. Klinik für Anästhesiologie Medizinische Einrichtungen der RWTH Aachen, Pauwelsstraße 30, D-52074, Aachen

    Rolf Rossaint

  4. Service d’Anesthésiologie Centre Hospitalier, Universitaire Vaudois - CHUV, Rue du Bugnon 46, CH-1011, Lausanne

    Donat R. Spahn

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Lewandowski, K., Lewandowski, M. (2003). Scoring-Systeme auf der Intensivtherapiestation. In: Bardenheuer, H.J., Forst, H., Rossaint, R., Spahn, D.R. (eds) Weiterbildung für Anästhesisten 2003. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18958-6_9

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  • DOI: https://doi.org/10.1007/978-3-642-18958-6_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-20375-9

  • Online ISBN: 978-3-642-18958-6

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