Will the Use of Scores Benefit the Individual Patient and Improve Therapy?

  • R. Lefering
  • R. J. A. Goris


Since the introduction of a 10 point scale for newborn infants [1] in 1953 by Apgar numerous scores and scales have been developed in medicine. A score is an attempt to integrate many different information like blood pressure, heart rate or laboratory data into a single one-dimensional numerical value. The more complex a clinical situation is the more efforts are made to develop and refine score systems. Therefore, many scores for patients in the intensive care unit (ICU) have been published.


Multiple Organ Failure Glasgow Coma Score Intensive Care Patient Score System Intensive Care Unit Care 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Apgar V (1953) A proposal for a new method of evaluation of newborn infant. Curr Res Anesth 32:260Google Scholar
  2. 2.
    Society of Critical Care Medicine Ethics Committee (1994) Consensus statement on the triage of critically ill patients. JAMA 271:1200–1203CrossRefGoogle Scholar
  3. 3.
    Murray LS, Teasdale GM, Murray GD et al (1993) Does prediction of outcome alter patient management? Lancet 341:1487–1491PubMedCrossRefGoogle Scholar
  4. 4.
    Atkinson S, Bihari D, Smithies M et al (1994) Identification of futility in intensive care. Lancet 334:1203–1206CrossRefGoogle Scholar
  5. 5.
    Chang RWS, Jacobs S, Lee B (1988) Predicting outcome among intensive care unit patients using computerized trend analysis of daily Apache II scores corrected for organ system failure. Intens Care Med 14:558–566CrossRefGoogle Scholar
  6. 6.
    Chang RWS (1989) Individual outcome prediction models for intensive care units. Lancet ii: 143–146CrossRefGoogle Scholar
  7. 7.
    Rogers J, Fuller HD (1994) Use of daily Acute Physiology and Chronic Health Evaluation (APACHE) II scores to predict individual patient survival rate. Crit Care Med 22:1402–1405PubMedCrossRefGoogle Scholar
  8. 8.
    Lemeshow S, Klar J, Teres D (1995) Outcome prediction for individual intensive care patients: useful, misused, or abused? Intens Care Med 21:770–776CrossRefGoogle Scholar
  9. 9.
    Lefering R, Dicke S, Böttcher, Neugebauer E (1997) Der Apache II Score bei Traumapatienten — Eine systematische Unterschätzung der Prognose. Intensivmed 34:426–431CrossRefGoogle Scholar
  10. 10.
    Teasdale G, Jennett B (1974) Assessment of coma and impaired consciousness. Lancet ii: 81–84CrossRefGoogle Scholar
  11. 11.
    Goris RJA, te Boekhorst TPA, Nuytinck JKS, Gimbrere JSF (1985) Multiple organ failure. Generahzed autodestructive inflammation? Arch Surg 120:1109–1115PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia, Milano 1998

Authors and Affiliations

  • R. Lefering
  • R. J. A. Goris

There are no affiliations available

Personalised recommendations