Therapeutic intervention scoring system

Cullen, David J.; Civetta, Joseph M.; Briggs, Burton A.; Ferrara, Linda C.

doi:10.1097/00003246-197403000-00001

Cited by 976 publications

(38 citation statements)

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“…To describe the nursing workload, we used the nurse to patient ratio, Therapeutic Intervention Scoring System (TISS-78) [12], with its simplified version TISS-28 [13], and the Nursing Activities Scores (NAS) [14]. The TISS and NAS, originally created for the ICU, are both measures for the nursing workload.…”

Section: Methodsmentioning

confidence: 99%

Utilisation of Intermediate Care Units: A Systematic Review

Plate

Leenen

Houwert

et al. 2017

Critical Care Research and Practice

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Background. The diversity in formats of Intermediate Care Units (IMCUs) makes it difficult to compare data from different settings. The purpose of this article was to describe and quantify these different formations and utilisation. Methods. We performed a systematic review extracting geographic location, nomenclature used, admitting specialties, open (admitting specialist in charge) or closed (intensivist/generalist in charge) management format, location in hospital, number of beds, nursing workload, medical staff to patient ratios, and modalities—possibilities and limitations—implemented. Results. Nomenclature used was High Dependency Unit (56.8%) or Intermediate Care Unit (24.3%), with the latter one increasingly being used recently. The median number of beds was 6 (IQR 4–10). Location (p < 0.001) and admitting specialties (p = 0.03) were related to the management format. IMCUs integrated or adjacent to Intensive Care Units were more often capable of using single vasoactive medication (p = 0.025). The mean nurse to patient ratio was 1 to 2.5. Conclusions. IMCUs often have a specific task in a hospital, which is reflected in location, format, and utilisation. The management format depends on location and admitting specialist while incorporated supportive treatment modules reflect its function. Common IMCU denominators are continuous monitoring and respiratory support, without mechanical ventilation and multiple vasoactive medications.

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Section: Methodsmentioning

confidence: 99%

Utilisation of Intermediate Care Units: A Systematic Review

Plate

Leenen

Houwert

et al. 2017

Critical Care Research and Practice

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“…We included two scores assessing the gravity of their condition: the highest TISS (TISS = Therapeutic Intervention Scoring System [15] and the APACHE II score (Acute Physiology and Chronic Health Evaluation score), the latter being calculated within 24 hrs of ICU admission [16]. Length of ICU stay and clinical condition at discharge (living or deceased) on the last day of the study period were also recorded.…”

Section: Methodsmentioning

confidence: 99%

Limited family members/staff communication in intensive care units in the Czech and Slovak Republics considerably increases anxiety in patients ́ relatives – the DEPRESS study

et al. 2014

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BackgroundSymptoms of anxiety and depression are common among family members of ICU patients and are culturally dependent. The aim of the study was to assess the prevalence of symptoms of anxiety and depression and associated factors in family members of ICU patients in two Central European countries.MethodsWe conducted a prospective multicenter study involving 22 ICUs (250 beds) in the Czech and Slovak Republics. The Hospital Anxiety and Depression Scale (HADS) was used to assess symptoms of anxiety and depression in family members of ICU patients. Family member understanding of the patient’s condition was assessed using a structured interview and a questionnaire was used to assess satisfaction with family member/ICU staff communication.ResultsTwenty two intensive care units (both adult and pediatric) in academic medical centers and community hospitals participated in the study. During a 6 month period, 405 family members of 293 patients were enrolled. We found a high prevalence of anxiety and depression symptoms – 78% and 54%, respectively. Information leaflets distributed to family members did not lower incidences of anxiety/depression. Family members with symptoms of depression reported higher levels of satisfaction according to the modified Critical Care Family Needs Inventory. Extended contact between staff and family members was the only related factor associated with anxiety reduction (p = 0.001).ConclusionFamily members of ICU patients in East European countries suffer from symptoms of anxiety and depression. We identified limited family member/ICU staff communication as an important health care professional-related factor associated with a higher incidence of symptoms of anxiety. This factor is potentially amenable to improvement and may serve as a target for proactive intervention proactive intervention.

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“…All the patients had evidence of NTIS. Illness severity was measured in this study using a modified Therapeutic Intervention Scoring System (TISS) score [59]. Through regression analysis, TISS scores had a correlation coefficient of -0.63 ± 0.17 with T3 levels, and 0.51 ± 0.18 with RT3 levels.…”

Section: Ntis In Childrenmentioning

confidence: 99%

Nonthyroidal illness syndrome in children

Marks

2009

Endocr

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Neuroendocrine changes in the hypothalamic-pituitary-thyroid axis during critical illness result in nonthyroidal illness syndrome (NTIS) characterized by abnormal thyrotropin (TSH) and thyroid hormone levels. Studies looking at the natural history of neuroendocrine changes during critical illness have revealed the presence of NTIS. NTIS has been described in a variety of patient settings. Many studies have tried to uncover the pathophysiology behind NTIS and several theories are proposed. Whether NTIS requires treatment or intervention is still controversial and the results of the treatment studies are arguably mixed. Whether implicitly stated or not, the underlying purpose of all the natural history, pathophysiology, or treatment studies is to determine whether NTIS is adaptive or maladaptive. Some studies have illustrated a correlation between illness severity and the degree of NTIS but a cause and effect relationship is still elusive. The human studies can be divided between those with either adult or pediatric subjects, with much less data available in the latter. This review examines the available literature on NTIS with an emphasis on the pediatric literature.

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Therapeutic intervention scoring system

Cited by 976 publications

References 0 publications

Utilisation of Intermediate Care Units: A Systematic Review

Utilisation of Intermediate Care Units: A Systematic Review

Limited family members/staff communication in intensive care units in the Czech and Slovak Republics considerably increases anxiety in patients ́ relatives – the DEPRESS study

Nonthyroidal illness syndrome in children

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