Riskjusterad mortalitet i intensivvården. Egen analys behövs för att dra rätt slutsatser från nationella register
Engelsk titel: Risk-adjusted mortality in intensive care. Self-analysis is needed to draw the right conclusions from the national registry
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Författare:
Engerström, Lars
;
Walther, Sten
;
Svensson, Robert
Email: lars.engerström@lio.se
Språk: Swe
Antal referenser: 9
Dokumenttyp:
Artikel
UI-nummer: 12067076
Sammanfattning
The standardized mortality ratio (SMR) based on risk-adjusted survival 30 days after admission to ICU is a quality indicator promoted by the Swedish Intensive Care Registry. We examined changes in SMR from 2007 to 2008 in our ICU. Since the numbers of deaths were about 100 per year, SMR had a fairly wide confidence limit and hence of limited value for comparison over time or between ICUs. However, analysis of performance using variable life adjusted displays based on risk adjusted survival and analysis of adverse events using the Global Trigger Tool technique were found useful.