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| Research article summary (published 30 Dec 2008): |
[The TISS-28 scoring system for assessment of cardiac surgical postoperative intensive care.]
(Zastosowanie skali TISS-28 w intensywnej opiece pooperacyjnej w kardiochirurgii.)
Full Abstract
BACKGROUND: The TISS-28 scoring system, commonly used in Poland in general intensive care, relies mostly on nursing activities in individual patient care. It is not known, however, whether this system can also be useful in specialised intensive care. The aim of this study was to assess the usefulness of the TISS-28 scoring system in cardiac surgical intensive care. METHODS: Clinical records of three hundred and fifty-nine consecutive patients, treated in a cardiac surgical intensive care unit, were retrospectively analyzed. The records were analyzed overall, and in subgroups according to various ranges of operative risk according to the EuroSCORE (a scoring system commonly used in the preoperative assessment of cardiac surgical patients). The TISS-28 scores for each individual day of treatment were calculated. Additionally, individual real costs of treatment were calculated for each patient. RESULTS: One hundred and four patients (28.9%) were preoperatively allocated to the EuroSCORE low-risk group, 158 (44.0%) to the medium-risk group, and 97 (27.1%) to the high-risk group. The overall mean TISS-28 score was high (39.2+/-7.6). Patients in the high-risk group had the highest TISS-28 scores. Overall costs of treatment, calculated for individual patients, were closely correlated to the TISS-28 scores (r=0.76, p<0.0001). CONCLUSIONS: The TISS-28 scoring system may be useful in prediction of treatment costs and in planning of nursing staff allocation in a specialized cardiac surgical intensive care.
Author information
Author/s: Gój, Katarzyna (K); Knapik, Piotr (P); Kucewicz-Czech, Ewa (E); Lubon, Dariusz (D);
Affiliation: Zaklad Anestezjologii i Intensywnej Opieki Pielegniarskiej Wydzialu Opieki Zdrowotnej, Slaski UM w Katowicach. kgoj(-atsign-)poczta.fm
Journal and publication information
Publication Type: English Abstract; Journal Article
Journal: Anestezjologia intensywna terapia (Anestezjol Intens Ter), published in Poland. (Language: pol)
Reference: -2009 Jan-Mar; vol 41 (issue 1) : pp 37-40
Dates: Created 2009/06/12; Completed 2009/06/25; Revised 2009/08/04;
PMID: 19517676, status: MEDLINE (last retrieved date: 8/21/2009)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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