Medicina intensiva
-
Multicenter Study
[Evaluation of the reproducibility of the data collection for the APACHE II, APACHE III adapted for Spain and the SAPS II in nine intensive care units in Spain].
To assess reproducibility in data collection and its influence on the calculation of the severity scoring and mortality risk in APACHE II, APACHE III adapted for Spain and SAPS II. ⋯ In this study, APS was the most influential factor on the reproducibility of severity scores and risk of death prediction. Admission diagnosis assignment had no significant impact on the reproducibility of the predicted mortality risk.
-
Multicenter Study
[Mortality and hospital stay adjusted for severity as indicators of effectiveness and efficiency of attention to intensive care unit patients].
To evaluate effectiveness and efficiency of ICU care using the APACHE III model customized for Spain. ⋯ The SMR was 0.9 (95% CI: 0.82-0.99), SRUPI was greater than 1 in 3 of 9 hospitals, According the SMR and SRUPI only one hospital was qualified as an outlier. CONCLUSIONS; In this study, no relationship was found between quality of care and use of resources. Moreover, this methodology may be a useful tool in order to detect deviations from the standard of care and use of resources, and in this way to lead to the analysis of different causes, the differences among hospitals being taken into account.
-
Multicenter Study
[The effectiveness of training schemes in the treatment of acute coronary syndrome at health centers].
A preliminary evaluation of the impact of a training program on pre-hospitalization care of acute coronary syndrome (ACS). ⋯ A training scheme for general practitioners (GP) is essential to ensure appropriate care of patients with this condition.