Serial measurement of Therapeutic Intervention Scoring System-28 (TISS-28) in a surgical intensive care unit

2010 ◽  
Vol 25 (4) ◽  
pp. 620-627 ◽  
Author(s):  
Norman Muehler ◽  
Janaina Oishi ◽  
Martin Specht ◽  
Florian Rissner ◽  
Konrad Reinhart ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Therapeutic Intervention ◽  
Scoring System ◽  
Surgical Intensive Care Unit ◽  
Therapeutic Intervention Scoring System ◽  
Surgical Intensive Care ◽  
Serial Measurement

Nursing Workload Associated With Fever in the General Intensive Care Unit

2008 ◽  
Vol 17 (6) ◽  
pp. 522-531 ◽  
Author(s):  
Panagiotis Kiekkas ◽  
George C. Sakellaropoulos ◽  
Hero Brokalaki ◽  
Evangelos Manolis ◽  
Adamantios Samios ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Body Temperature ◽  
Therapeutic Intervention ◽  
Scoring System ◽  
Independent Predictor ◽  
General Intensive Care Unit ◽  
Nursing Workload ◽  
Surgical Intensive Care Unit ◽  
Therapeutic Intervention Scoring System

Background Fever in a patient in the intensive care unit necessitates several nursing tasks. Moreover, factors associated with increased patient care needs may be associated with fever. Objective To identify relationships between fever and characteristics of fever and nursing workload at the patient level. Methods A prospective study was conducted in a medical-surgical intensive care unit. The sample consisted of 361 patients consecutively admitted from October 2005 to August 2006. Each patient’s body temperature was measured by using a tympanic membrane or an axillary thermometer. The Therapeutic Intervention Scoring System-28 was used to measure nursing workload. Results A total of 188 patients (52.1%) had fever. Mean daily scores on the Therapeutic Intervention Scoring System and on 5 of its 7 categories were significantly higher for febrile patients than for nonfebrile patients. Fever was an independent predictor of the mean daily scores for all patients (P < .001). Peak body temperature but not duration of fever also was an independent predictor of mean daily scores for febrile patients (P < .001). Conclusion In a general intensive care unit, fever in patients should be taken into consideration for the proper allocation of nursing personnel.

scholarly journals Sonographic Assessment of Intravascular Fluid Estimate (SAFE) Score by Using Bedside Ultrasound in the Intensive Care Unit

2020 ◽  
Vol 2020 ◽  
pp. 1-9 ◽  
Author(s):  
Keith Killu ◽  
Victor Coba ◽  
Dionne Blyden ◽  
Semeret Munie ◽  
Darlene Dereczyk ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Scoring System ◽  
Venous Pressure ◽  
Tertiary Care ◽  
Bedside Ultrasound ◽  
Volume Status ◽  
Surgical Intensive Care Unit ◽  
Surgical Intensive Care ◽  
Volume Score

Objective. The objective of the study was to use an ultrasound-based numerical scoring system for assessment of intravascular fluid estimate (SAFE) and test its validity. Methods. A prospective, observational study was carried out in the surgical intensive care unit (ICU) of an urban tertiary care teaching hospital. Patient’s intravascular volume status was assessed using the standard methods of heart rate, blood pressure, central venous pressure, cardiac output, lactate and saturation of venous oxygen, and others. This was compared with assessment using bedside ultrasound evaluation of the cardiac function, inferior vena cava, lungs, and the internal jugular vein. Applying a numerical scoring system was evaluated by Fisher’s exact testing and multinomial logistic model to predict the volume status based on ultrasound scores and the classification accuracy. Results. 61 patients in the ICU were evaluated. 21 (34.4% of total) patients diagnosed with hypovolemia, and their ultrasound volume score was −4 in 14 (66.7%) patients, −3 in 5 (23.8%) patients, and 0 in 2 (9.5%) patients (p<0.001). 18 (29.5% of total) patients diagnosed with euvolemia, and their ultrasound volume score was 0 in 11 (61.1%) patients, +1 in 4 (22.2%) patients, and −1 in 1 (5.6%) patient (p<0.001). 22 (36.1% of total) patients diagnosed with hypervolemia, and their ultrasound volume score was +4 in 4 (18.2%) patients, +3 in 15 (68.2%) patients, and  + 1 in 1 (4.6%) patient (p<0.001). We found a strong association between standard measures and the ultrasound score (p<0.001). Conclusion. Using the SAFE scoring system to identify the IVV status in critically ill patients significantly correlates with the standard measures. A SAFE score of −4 to −2 more likely represents hypovolemia, −1 to +1 more likely represents euvolemia, and +2 to +4 more likely to be hypervolemia.

scholarly journals Therapeutic intervention scoring system application in a pediatric intensive care unit

2010 ◽  
Vol 2 (2) ◽  
pp. 96
Author(s):  
Simone Travi Canabarro ◽  
Mariana Parode Bandeira ◽  
Kelly Dayane Stochero Velozo ◽  
Olga Rosária Eidt ◽  
Jefferson Pedro Piva ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
System Application ◽  
Therapeutic Intervention ◽  
Scoring System ◽  
Pediatric Intensive Care ◽  
Therapeutic Intervention Scoring System
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