Use of general scoring systems, organ failure scores and nursing activity scores in the ICU

Survey on the use of various ICU scoring systems

The study is anonymous, you only reveal some information about your ICU, your position and the country, and only adult ICUs is the focus of this study.
We hope you will use 5-10 minutes of your time to provide us your feedback as this will help us develop a future agenda for scoring systems in the ICU.

Thank you for your participation,

Hans Flaatten
Chair HSRO section
ESICM

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* 1. Country

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* 2. Type of ICU

general

medical

surgical

postoperative

cardiac

neuro

burn

Other (please specify)

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* 3. Do you work in an academic ICU?

Yes

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* 4. Size of the ICU

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* 5. Approximate number of admissions /year

< 500,

500-1000

1000-1500

> 1500

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* 6. Your ICU role

Senior Consultant

Consultant

Staff specialist

Physician in training

Nurse

Other (please specify)

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* 7. Is it mandatory in your country to collect data on

General severity scores

Organ dysfunction scores

Nursing workload use scores

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* 8. Do you routinely use any scoring system for your ICU patients?

Yes

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* 9. If YES choose one or more of the following

General Severity of illness scores,

Organ dysfunction scores,

Resource/Nurse activity scores

Other (please specify)

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* 10. If YES for Severity of illness scores: Which one do you use (tick one or more)

SAPS II

SAPS 3

APACHE II

APACHE III

APACHE IV

MPM (any)

EUROSCORE (any)

Other (please specify)

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* 11. If YES on organ dysfunction scores: Which one do you use?

SOFA,

MODS,

LODS,

Other (please specify)

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* 12. If YES on Resource/Nursing score, which one do you use?

NEMS

TISS 74

TISS 28

NAS

Other (please specify)

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* 13. Do you collected severity score

On admission

Daily

At discharge

Other frequencies

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* 14. Have you had formal training in using the scoring system?

Yes

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* 15. What training was performed

Formal course

Supervision by a trainer

On-line training

Other (please specify)

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* 16. Is the scoring done

Manually 100% paper

Manually with data abstracted from electronic records

Through a clinical information system with manual input

Through a Clinical Information System without manual input

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* 17. Do you have possibility to validate the data presented by the PDMS?

Yes

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* 18. Does your unit regularly export your results from severity score out of the unit in order to compare results with with other groups (no matter if at hospital, local, regional, national or international organizations)

Yes

Do not know

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* 19. If YES where?

National ICU registry

Other national body

Regional body

Other (please specify)

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* 20. Is the data checked/validated prior to export?

Yes

By who? (please specify)

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* 21. Do you get feedback from, the pooled data?

Yes

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* 22. Are results from the scoring regularly communicated and discussed to staff in your unit?

Yes

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* 23. Are results from the scoring regularly communicated and discussed with your administration?

Yes

Do not know

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* 24. What would you claim to be the reason(s) for why your unit use scoring systems?

Accounting

Benchmarking

Quality improvement in the unit

Resource allocation

Other (please specify)

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* 25. In the future we could develop other scoring systems. Is there a specific group of patients or acoring systems you would like to se developed?

Severity score for the very old ICU patients

Severity scores for immunocompromised patients

Revised organ failure score (ex SOFA score)

Other (please specify)