Assessment of Pediatric Intensive Care - application of the Therapeutic Intervention Scoring System ( TISS ) and the Clinical Classification System ( CCS )

1991 ◽  
Vol 24 (3) ◽  
pp. 528
Author(s):  
Chung Su Kim ◽  
Chong Sung Kim ◽  
Seong Deok Kim
2010 ◽  
Vol 2 (2) ◽  
pp. 96
Author(s):  
Simone Travi Canabarro ◽  
Mariana Parode Bandeira ◽  
Kelly Dayane Stochero Velozo ◽  
Olga Rosária Eidt ◽  
Jefferson Pedro Piva ◽  
...  

PEDIATRICS ◽  
1985 ◽  
Vol 76 (5) ◽  
pp. 719-724
Author(s):  
Murray M. Pollack ◽  
Urs E. Ruttimann ◽  
Nancy L. Glass ◽  
Timothy S. Yeh

All admissions to a 16-bed multidisciplinary pediatric intensive care unit (PICU) were evaluated during two time periods totaling 13.5 months. Daily evaluations of therapeutic and monitoring care modalities were accomplished with the Therapeutic Intervention Scoring System (TISS) and daily assessments of severity of illness were done by using the Physiologic Stability Index. Of the 822 patients included in this study, 226 (27.5%) never received a therapy that could only be given in the PICU. These patients were known as the monitoring group and used 7.5% (297/3,969) of the bed days. The percentage of Therapeutic Intervention Scoring System points used by the monitoring patients was 3.6% (3,575/100,109). All patients who were monitored survived; 213 (94.2%) were classified as low mortality risk based on their level of physiologic stability. These data indicate that a significant percentage of PICU patients never receive a therapy that requires the PICU but only receive monitoring and routine care techniques. Significant reductions in PICU use could occur with more efficient usage.


2008 ◽  
Vol 17 (6) ◽  
pp. 522-531 ◽  
Author(s):  
Panagiotis Kiekkas ◽  
George C. Sakellaropoulos ◽  
Hero Brokalaki ◽  
Evangelos Manolis ◽  
Adamantios Samios ◽  
...  

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.


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