There are several scoring systems in

intensive care unit An intensive care unit (ICU), also known as an intensive therapy unit or intensive treatment unit (ITU) or critical care unit (CCU), is a special department of a hospital or health care facility that provides intensive care medicine. An inten ...

s (ICUs) today.

Adult scoring systems

APACHE II APACHE II ("Acute Physiology and Chronic Health Evaluation II") is a severity-of-disease classification system, one of several ICU scoring systems. It is applied within 24 hours of admission of a patient to an intensive care unit (ICU): an in ...

was designed to provide a

morbidity A disease is a particular abnormal condition that adversely affects the structure or function of all or part of an organism and is not immediately due to any external injury. Diseases are often known to be medical conditions that are asso ...

score SCORE may refer to: *SCORE (software), a music scorewriter program * SCORE (television), a weekend sports service of the defunct Financial News Network *SCORE! Educational Centers *SCORE International, an offroad racing organization *Sarawak Corrido ...

for a patient. It is useful to decide what kind of treatment or medicine is given. Methods exist to derive a predicted mortality from this score, but these methods are not too well defined and rather imprecise. ** APACHE III is an updated version. * SAPS II was designed to provide a predicted mortality, that does not reflect the expected mortality for a particular patient, but is good for

benchmarking Benchmarking is the practice of comparing business processes and performance metrics to industry bests and best practices from other companies. Dimensions typically measured are Project management triangle, quality, time and cost. Benchmarking is ...

. In a rather simple way, it makes it possible to provide a single number that describes the morbidity of a number of patients. * SAPS III was designed to provide a realistic predicted mortality for a particular patient or a particular group of patients. It does this by calibrating against known mortalities on an existing set of patients, for a specific definition of mortality (like 30-days mortality). This way, it can answer questions like "Did we improve our quality of care from 2004 to 2005?" or "If hospital A's patients had been treated at hospital B, would they have a better or a worse mortality?".

Children scoring systems

* PIM2 delivers a predicted mortality value, intended to be used for benchmarking.

Other scoring systems

SOFA A couch, also known as a sofa, settee, chesterfield, or Davenport (sofa), davenport, is a cushioned piece of furniture that can seat multiple people. It is commonly found in the form of a bench (furniture), bench with Upholstery, upholstered ...

was designed to provide a simple daily score, that indicates how the status of the patient evolves over time. *

Glasgow Coma Scale The Glasgow Coma Scale (GCS) is a clinical scale used to reliably measure a person's level of consciousness after a brain injury. The GCS assesses a person based on their ability to perform eye movements, speak, and move their body. These th ...

(also named GCS) is designed to provide the status for the

central nervous system The central nervous system (CNS) is the part of the nervous system consisting primarily of the brain, spinal cord and retina. The CNS is so named because the brain integrates the received information and coordinates and influences the activity o ...

. It is often used as part of other scoring systems. *

FOUR score The FOUR Score is a clinical grading scale designed for use by medical professionals in the assessment of patients with impaired level of consciousness. It was developed by Dr. Eelco F.M. Wijdicks and colleagues in Neurocritical care at the Mayo ...

- 17-point scale for the assessment of

level of consciousness An altered level of consciousness is any measure of arousal other than normal. Level of consciousness (LOC) is a measurement of a person's arousability and responsiveness to stimuli from the environment. A mildly depressed level of consciousn ...

. Aims to have higher sensitivity and specificity then GCS, applicable in intubated patients. * CMM - Cancer Mortality Model ** specific score to predict outcome of critical cancer patients * MPM - Mortality Probability Model ** model to assess risk of death at ICU admission ** has prediction models for assessment at admittance, 24h, 48h and 72h after * RIFLE - Risk, injury, failure, loss and end-stage kidney classification ** has 3 severity levels (risk, injury and failure) and 2 possible outcomes (loss and end-stage) * CP - Child–Pugh score ** for patient with liver failure. ** used also outside of the ICU. * Ranson score ** simple score used specifically for patients with

pancreatitis Pancreatitis is a condition characterized by inflammation of the pancreas. The pancreas is a large organ behind the stomach that produces digestive enzymes and a number of hormone A hormone (from the Ancient Greek, Greek participle , "se ...

* MODS Multiple Organ Dysfunction Score ** with similar objectives as

SOFA Score The sequential organ failure assessment score (SOFA score), previously known as the sepsis-related organ failure assessment score, is used to track a person's status during the stay in an intensive care unit (ICU) to determine the extent of a pers ...

* LODS Logistic Organ Dysfunction System ** developed for evaluation at admittance and not as a monitoring tool * APACHE IV ** used to predict hospital mortality and ICU LOS

References

{{DEFAULTSORT:Icu Scoring Systems Intensive care medicine Medical scoring system