Valorisation des séjours en Unité de Surveillance Continue : l'Indice de Gravité Simplifié (IGS 2) est-il pertinent ? (notice n° 272400)
[ vue normale ]
| 000 -LEADER | |
|---|---|
| fixed length control field | 03680cam a2200325 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250112081651.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Auriant, Igor |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Valorisation des séjours en Unité de Surveillance Continue : l'Indice de Gravité Simplifié (IGS 2) est-il pertinent ? |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2013.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 35 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Les séjours en Unité de Surveillance Continue (USC) sont valorisés à partir de l’Indice de Gravité Simplifié (IGS II) La gravité estimée à la vingt-quatrième heure est donc le facteur déterminant des allocations de ressources. Ce score pourrait sous évaluer la lourdeur de prise en charge notamment pour les patients chirurgicaux. Une étude prospective a été conduite sur une durée de trois mois dans une USC de 19 lits. Tous les patients hospitalisés ont été successivement inclus. Trois scores ont été recueillis : l’IGS II, le Therapeutic Intervention Scoring System (TISS 28) et la lourdeur des séjours selon l’ATIH. 458 patients ont été inclus. L’admission est jugée pertinente dans plus de 95 % des cas. L’IGS II moyen est de 16,59 +/- 9,03 et le TISS 28 moyen de 19,33 +/- 4,53, la durée moyenne de séjour est de 2,85 jours +/- 2,46. L’âge moyen des patients est de 61,56 ans +/- 17,42. Le TISS 28 qui reflète la lourdeur de prise en charge propose une évaluation du ratio en personnel nécessaire conforme au standard de nos USC et semble plus adapté que l’IGS II compte tenu de la typologie chirurgicale des patients. Il serait préjudiciable au patient que l’utilisation d’un score inadapté amène à hospitaliser en Unité de Soin Conventionnel des patients devant bénéficier d’une Surveillance Continue. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Resource utilization in intermediate care unit : is the simplified acute physiological score (SAPS II) score reliable !Simplified Acute Physiology Score (SAPS II) is usually used In French Intermediate Care Unit to appreciate severity of patients and resource’s allocations. It’s on concern, particularly for surgical patients, that the use of SAPS II Score could underestimate severity of illness. A prospective study was conducted in a 19 beds intermediate care unit. All successive patients were included on a three months period. Collected data were : SAPS II Score and Therapeutic Intervention Scoring System (TISS 28) and demographic data. 458 patients were included. Adequacy of admission was confirmed in 95% of cases. Average SAPS II score was 16,59 +/- 9,03 and average TISS 28 was 19,33 +/- 4,53, average length of stay was 2,85 days +/- 2,46 and average age 61,56 +/- 17,42 years. TISS 28 score is reliable in evaluating nurse ratio depending on density of care in intermediate care unit and appear more pertinent than SAPS II score especially concerning surgical patients and nursing workload. It could be crucial to consider the role of pertinent score in evaluating resource’s utilization and allocation. Other way the future of surgical intermediate care unit could be questioned. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | TISS 28 |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | évaluation |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | IGS II |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | USC |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | charges en soins |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | SAPS II |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | nursing workload |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | TISS 28 |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | intermediate care unit |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | evaluation |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Devos, N. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Briand, Frédérique |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Proust, Delphine |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Journal de gestion et d'économie médicales | 31 | 4 | 2013-10-10 | p. 175-185 | 2262-5305 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-journal-de-gestion-et-d-economie-medicales-2013-4-page-175?lang=fr">https://shs.cairn.info/revue-journal-de-gestion-et-d-economie-medicales-2013-4-page-175?lang=fr</a> |
Pas d'exemplaire disponible.
Réseaux sociaux