6533b81ffe1ef96bd1277047

RESEARCH PRODUCT

Grenzen der Indikation zur Intensivtherapie bei chirurgischen Patienten — Prospektive Untersuchung zur Bedeutung von Scores (APACHE II, HIS, TISS) und anderer Faktoren für die Indikationsstellung zur Intensivtherapie

W WahlK. PelletierT. Junginger

subject

medicine.medical_specialtyCreatininePediatricsAPACHE IIbusiness.industryMalignant diseasechemistry.chemical_compoundchemistryConcomitantInternal medicineIntensive therapymedicineProspective cohort studybusiness

description

The aim of the study was to describe the objective factors (clinical values, scores, basic and concomitant illnesses) that could possibly justify the omittance of intensive therapy. In a prospective study in 169 postoperative intensive therapy patients, it was shown that scores (APACHE II, HIS, TISS) serum-lactate and serum creatinine were significant prognostic parameters for lethal outcome, while these parameters had no effect on the prognosis after patients were discharged. Primarily, the presence of a malignant disease and/or the age of the patient were decisive. By considering these factors for lethal outcome and long-term prognosis, it is possible to identify patients who do not benefit from a wide-scale intensive therapy.

yearjournalcountryeditionlanguage
1993-01-01
https://doi.org/10.1007/978-3-642-78145-2_150