The Simple Clinical Score: a tool for benchmarking of emergency admissions in acute internal medicine

Quality of care in intensive care and surgery has benefited from establishing comparative standards. At present there is no accepted tool to compare outcomes for emergency admissions in internal medicine. The Simple Clinical Score (SCS) was used in 1,098 consecutive medical emergency admissions to a...

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Bibliographic Details
Published in:Clinical medicine (London, England) England), 2010-08, Vol.10 (4), p.352-357
Main Authors: Subbe, CP, Jishi, F, Hibbs, RAB
Format: Article
Language:English
Subjects:
Acute Disease - therapy
Aged
Aged, 80 and over
Benchmarking
Biological and medical sciences
emergency
Epidemiology
Female
General aspects
Hospital Mortality
Hospital Units
Humans
Internal Medicine
length of stay
Male
Medical sciences
Medicine at the Sharp End
mortality
Patient Admission
Patient Discharge
Public health. Hygiene
Public health. Hygiene-occupational medicine
Reproducibility of Results
Risk Assessment - methods
Severity of Illness Index
Wales
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Summary:Quality of care in intensive care and surgery has benefited from establishing comparative standards. At present there is no accepted tool to compare outcomes for emergency admissions in internal medicine. The Simple Clinical Score (SCS) was used in 1,098 consecutive medical emergency admissions to adjust mortality for severity of illness. Hospital mortality adjusted for severity of illness and length of stay in the cohort was in keeping with mortality in the Irish derivation study with a trend towards lower mortality in the very high-risk group. Three parameters with poor reproducibility were identified. The SCS has several potential applications: identification of patients with low risk of death suitable for early hospital discharge; early identification of patients with a high risk of death, who will require care in critical care areas (or specialist palliative care); and benchmarking of acute medical departments internationally in a similar way to how APACHE II scoring has been used in critical care units worldwide.1
ISSN:1470-2118
1473-4893
DOI:10.7861/clinmedicine.10-4-352