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  • Title: [Measurement of the quality of care for surgical patients in an intensive care unit in a peripheral hospital].
    Author: van der Hoeven JG, Steup WH, Valentijn RM, Breslau PJ.
    Journal: Ned Tijdschr Geneeskd; 1991 Aug 03; 135(31):1407-10. PubMed ID: 1865952.
    Abstract:
    OBJECTIVE: To determine the quality of care in an intensive care unit. DESIGN: Prospective investigation for one year. Comparison with results from the literature. SETTING: Surgical intensive care unit of a community hospital. PATIENTS: Measurement of the APACHE-II-score was performed on days 1, 3 and 7 in all surgical intensive care unit patients admitted during a one-year period. The predicted mortality from the literature was compared with the actual mortality in our hospital. RESULTS: A total of 301 patients were admitted to the intensive care unit. Overall mortality was 9%. All the patients with an APACHE II score above 25 on admission died. The actual mortality was comparable with the predicted mortality from the literature. CONCLUSION: The APACHE II score can be used to determine the quality of care in an intensive care unit. Early prediction of a bad prognosis makes transportation to a more specialized hospital possible, before irreversible organ damage develops.
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