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Therapeutic intervention scoring system: a method for quantitative comparison of patient care
Abstract
A Therapeutic Intervention Scoring System (TISS) is presented to allow quantitative comparison of patient care and research experiences of different intensive care units. 57 items of therapeutic intervention are scored on a one to four basis according to intensity of involvement. The points acquired per patient per 24 hours are summated by an experienced observer. TISS has been used to: 1) determine appropriate utilization of intensive care facilities at the Massachusetts General Hospital; 2) provide information on nurse staffing ratios for various patient care areas; 3) quantitatively validate a clinical classification of critically ill patients into four categories, thereby simplifying and organizing activities relating to patient care; 4) analyze cost of intensive care relative to the extent of care offered. Assumptions inherent in formulating this system are discussed. If other intensivists incorporate this system into their experience, meaningful comparisons between intensive care units can occur.
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Citations
Cited by
Intensive insulin therapy in critically ill patients.
Van den Berghe, G., Wouters, P., Weekers, F., Verwaest, C., Bruyninckx, F., Schetz, M., Vlasselaers, D., Ferdinande, P., Lauwers, P., & Bouillon, R. (2001) · New England Journal of Medicine · doi:10.1056/nejmoa011300 · Cited by 9,977
Intensive insulin therapy in the medical ICU
Van den Berghe, G., Wilmer, A., Hermans, G., Meersseman, W., Wouters, P. J., Milants, I., Van Wijngaerden, E., Bobbaers, H., & Bouillon, R. (2006) · New England Journal of Medicine · doi:10.1056/nejmoa052521 · Cited by 3,639
Clinical review: Scoring systems in the critically ill
Vincent, J.-L., & Moreno, R. (2010) · Critical Care · doi:10.1186/cc8204 · Cited by 634
DOIG, C. J., SUTHERLAND, L. R., DEAN SANDHAM, J., FICK, G. H., VERHOEF, M., & MEDDINGS, J. B. (1998) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.158.2.9710092 · Cited by 411
Mayer‐Oakes, S. A., Oye, R. K., & Leake, B. (1991) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1991.tb04452.x · Cited by 123
Metadata
- Authors
- CULLEN, D. J., CIVETTA, J. M., BRIGGS, B. A., & FERRARA, L. C.
- Venue
- Critical Care Medicine
- Published
- 1974-03
- Volume
- 2
- Issue
- 2
- Pages
- 57-60
- ISSN
- 0090-3493 (ISSN-L)
- OpenAlex
- W2003378032
- Cited by
- 1,200
- References
- 0
- FWCI
- 6.95
- Type
- journal article
- Language
- en
- Open access
- closed
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- CULLEN, D. J., CIVETTA, J. M., BRIGGS, B. A., & FERRARA, L. C. (1974). Therapeutic intervention scoring system: a method for quantitative comparison of patient care. Critical Care Medicine. https://doi.org/10.1097/00003246-197403000-00001
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
