DerAnaesthesist.40430030.ger.abstr-passage-0
abstract
Primaere Zielsetzung eines Scoring in der Notfallmedizin sind die Schweregradklassifikation des Notfallpatienten , die Erfassung von Diagnose und Therapieaufwand , die Voraussage des Outcome , eine Hilfestellung bei Triage- und Therapieentscheidungen . Darueber hinaus koennen Scores zur Effektivitaetsmessung im Rahmen einer Qualitaetskontrolle herangezogen werden . Mit Scores zur Erfassung der Lebensqualitaet liegen in der Notfallmedizin kaum Erfahrungen vor . Die Prognostizierung im Einzelfall ist der kritischste Punkt ; fuer Therapieentscheidungen koennen Scoreergebnisse nur in speziellen Situationen herangezogen werden . Fuer die Notfallmedizin erscheinen am ehesten aus physiologischen Parametern gebildete global anwendbare , verlaufsorientierte Scores , sinnvoll . Beispiele hierfuer sind die Glasgow-Coma-Scale , der Rapid-Acute-Physiology-Score , der Mainz-Emergency-Evaluation-Score sowie als krankheitsspezifische Scores der Trauma-Score und der Injury Severity Score . Als notfallmedizinische Scores zur Erfassung von Lebensqualitaet koennen die Glasgow-Outcome-Scale und die Glasgow-Pittsburgh-Scale gelten .
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performs
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performs
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affects
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affects
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affects
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isa
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isa
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