The critical care community has been using severity and organ failure assessment tools
for over 2 decades. The major adult severity assessment models are Acute Physiology
and Chronic Health Evaluation, Simplified Acute Physiology Score, and Mortality Probability
Model. All three recent versions of these models perform well in predicting hospital
mortality. Sequential Organ Failure Assessment score is the most used tool for assessment
of multiple organ failure. These tools have been used extensively in clinical research
involving critically ill patients and for benchmarking and the measurement of performance
improvement. Their roles as clinical decision support tools at the bedside await future
studies because of their unknown or poor performance at the individual patient level.
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Article info
Footnotes
B.A. was supported by Mayo Clinic Critical Care Research fund and Department of Medicine, Quality QUEST.
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Copyright
© 2007 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
