Academic literature on the topic 'Scoring outcome'

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Journal articles on the topic "Scoring outcome"

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Pearson, G. A., P. Barry, F. Shann, et al. "Organisation/Outcome/Scoring." Intensive Care Medicine 22, S2 (1996): S157—S159. http://dx.doi.org/10.1007/bf03216372.

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Xun-mei, Fan, Lu Zhong-yi, Deniz Anadol, et al. "Organisation/Outcome/Scoring." Intensive Care Medicine 22, S2 (1996): S197—S201. http://dx.doi.org/10.1007/bf03216391.

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Horwitz, David A., and Douglas JE Schuerer. "Trauma rehabilitation outcome scoring." Current Opinion in Critical Care 14, no. 4 (2008): 445–50. http://dx.doi.org/10.1097/mcc.0b013e328307f25f.

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Marik, Paul E., and Joseph Varon. "SEVERITY SCORING AND OUTCOME ASSESSMENT." Critical Care Clinics 15, no. 3 (1999): 633–46. http://dx.doi.org/10.1016/s0749-0704(05)70076-2.

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Jacobs, S. "Outcome scoring in critically ill patients." Réanimation Urgences 3, no. 2 (1994): 177–81. http://dx.doi.org/10.1016/s1164-6756(05)80745-5.

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Harsoda, Rohan J., Sharma Vipin Jaishree, and Krishna Prasad G.V. "Evaluation of Different Scoring Systems in Predicting the Severity of Acute Pancreatitis." Journal of Evidence Based Medicine and Healthcare 7, no. 45 (2020): 2604–10. http://dx.doi.org/10.18410/jebmh/2020/537.

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BACKGROUND Accurate prediction of the severity of acute pancreatitis will help in identifying patients at increased risk for morbidity and mortality. We wanted to evaluate the different scoring systems in predicting the severity of acute pancreatitis. METHODS This cross-sectional study was undertaken in the Department of Surgery at a zonal hospital between April 2013 and December 2014. RESULTS 40 patients were selected and enrolled in the study as per the selection criteria. 20 (50 %) patients had fair outcome and 20 (50 %) had a poor outcome. Accuracy of different scoring systems in predicting patient outcome ranged from 45 % (48-hr APACHE II) to 62.5 % (Goris MOF at baseline and 48 hr). Baseline Goris MOF was 70 % sensitive and 55 % specific in prediction of poor outcome. It had an accuracy of 62.5 % in prediction of outcome. 48-hr Goris MOF was 80 % sensitive and 45 % specific in predicting the outcome. Baseline APACHE II scores were below the cut-off level in all the patients. 48-hr APACHE II scores were 5 % sensitive and 100% specific for prediction of outcome. Ranson score > 3 was 25 % sensitive and 90 % specific in the prediction of outcome. Balthazar score > 6 was 65 % sensitive and 55 % specific in prediction of outcome. Ranson score was found to have a limited sensitivity for different outcomes (ranging from 21.1 % to 50 %) but was found to have a high specificity (83.8 % to 90 %). CONCLUSIONS Goris scoring system (at 48 hrs) was found to be highly sensitive to different poor outcomes as well as duration of hospital stay. It also correlated with Balthazar scoring system, which was also highly sensitive to different poor outcomes studied. KEYWORDS Acute Pancreatitis, Prediction, Scoring System, APACHE II, Goris MOF, Ranson’s Score, Balthazar Score
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AULT, ALICIA. "Scoring Method Foretells Outcome of Liver Cancer." Internal Medicine News 38, no. 21 (2005): 79. http://dx.doi.org/10.1016/s1097-8690(05)72306-4.

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Minaire, P. "Disability scoring as a measurement of outcome." Réanimation Urgences 3, no. 2 (1994): 157–58. http://dx.doi.org/10.1016/s1164-6756(05)80740-6.

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Schmidt-Rohlfing, Bernhard, Roman Pfeifer, Jason Kaneshige, et al. "Scoring systems for outcome after knee injuries." Injury 42, no. 3 (2011): 271–75. http://dx.doi.org/10.1016/j.injury.2010.11.059.

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Kumar, Anil, Nupur Pruthi, Bhagavatula Devi, and Arun Gupta. "Functional Outcome for Chiari Malformation Using a Novel Scoring System." Indian Journal of Neurosurgery 07, no. 03 (2018): 179–83. http://dx.doi.org/10.1055/s-0038-1649332.

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Abstract Background The authors report functional outcomes comparing various surgical techniques, using a Chiari-specific assessment tool. They also intend to externally validate the performance of the CCOS by comparing with gestalt outcome. Methods Total cohort comprised 73 surgically treated patients, and patients were divided into two groups: patients who were operated upon at the authors’ institute and those who were evaluated at their institute but underwent surgery elsewhere due to various reasons. Functional outcome was evaluated on the basis of the Chicago Chiari outcome scale (CCOS) and gestalt outcome scale. Mean duration of follow-up was 10.23 ± 5.8 months. Results In the authors’ cohort of 73 patients, 76.70% (n = 56) were improved, 23.30% (n = 17) were unchanged, and none of them deteriorated. The median CCOS was 14 ± 1.34 (range: 11–16). There was no statistical difference in outcome between the different operative groups (foramen magnum decompression, duraplasty, tonsillar resection “other”). The CCOS value of 14 has excellent sensitivity (0.95) and good specificity (0.746) for identifying patients with good gestalt outcome. Conclusion The authors found a clear correlation between higher CCOS score and gestalt outcome. There was no statistical difference in outcome between the different operative groups.
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Dissertations / Theses on the topic "Scoring outcome"

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Ho, Kwok Ming. "Use of prognostic scoring systems to predict outcomes of critically ill patients." University of Western Australia. School of Medicine and Pharmacology, 2008. http://theses.library.uwa.edu.au/adt-WU2009.0101.

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[Tuncated abstract] This research thesis consists of five sections. Section one provides the background information (chapter 1) and a description of characteristics of the cohort and the methods of analysis (chapter 2). The Acute Physiology and Chronic Health Evaluation (APACHE) II scoring system is one of commonly used severity of illness scoring systems in many intensive care units (ICUs). Section two of this thesis includes an assessment of the performance of the APACHE II scoring system in an Australian context. First, the performance of the APACHE II scoring system in predicting hospital mortality of critically ill patients in an ICU of a tertiary university teaching hospital in Western Australia was assessed (Chapter 3). Second, a simple modification of the traditional APACHE II scoring system, the 'admission APACHE II scoring system', generated by replacing the worst first 24-hour data by the ICU admission physiological and laboratory data was assessed (Chapter 3). Indigenous and Aboriginal Australians constitute a significant proportion of the population in Western Australia (3.2%) and have marked social disadvantage when compared to other Australians. The difference in the pattern of critical illness between indigenous and non-indigenous Australians and also whether the performance of the APACHE II scoring system was comparable between these two groups of critically ill patients in Western Australia was assessed (Chapter 4). Both discrimination and calibration are important indicators of the performance of a prognostic scoring system. ... The use of the APACHE II scoring system in patients readmitted to ICU during the same hospitalisation was evaluated and also whether incorporating events prior to the ICU readmission to the APACHE II scoring system would improve its ability to predict hospital mortality of ICU readmission was assessed in chapter 10. Whilst there have been a number of studies investigating predictors of post-ICU in-hospital mortality none have investigated whether unresolved or latent inflammation and sepsis may be an important predictor. Section four examines the role of inflammatory markers measured at ICU discharge on predicting ICU re- 4 admission (Chapter 11) and in-hospital mortality during the same hospitalisation (Chapter 12) and whether some of these inflammatory markers were more important than organ failure score and the APACHE II scoring system in predicting these outcomes. Section five describes the development of a new prognostic scoring system that can estimate median survival time and long term survival probabilities for critically ill patients (Chapter 13). An assessment of the effects of other factors such as socioeconomic status and Aboriginality on the long term survival of critically ill patients in an Australian ICU was assessed (Chapter 14). Section six provides the conclusions. Chapter 15 includes a summary and discussion of the findings of this thesis and outlines possible future directions for further research in this important aspect of intensive care medicine.
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Zhang, Yin, and 張銀. "Validation of the new knee society knee scoring system for outcome assessment after total knew arthroplasty." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193564.

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Introduction: This retrospective comparative study was to define the validity and reliability of a translated, culturally adapted Chinese version questionnaire of the New Knee Society Knee Scoring System (NKSS). This study is aim to investigate the validity and reliability of the translated Chinese version of the NKSS and assess its feasibility of measuring the scale on Chinese patients by performing its cross-cultural adaptation for patients after Total Knee Arthroplasty (TKA) in Hong Kong. Methods: A total of 104 knees from 64 Chinese patients performed TKA were included in the study using the translated, culturally adapted Chinese version of the NKSS. All Patients were operated on from October 2010 to May 2013 at Queen Mary Hospital. Patients who participated in this study have been clinically screened and established a set of including criteria. The outpatients were evaluated by completing the five questionnaires containing the NKSS, the Knee Society Clinical Rating System (KSS), Medial Outcomes Study 36+Item Short Form (SF-36), Bristol Knee Score and Oxford Knee Score. Reliability was evaluated using the Split-half reliability, Chronbach's α coefficient and inter-item correlation. To assess validity, all patients filled in the same NKSS questionnaire, and previously validated Chinese version of the SF-36, Bristol Knee Score and Oxford Knee Score. The validity was determined with Content Validity and Contract Validity. Results: The NKSS showed ideal split-half reliability as evidenced by the high correlation coefficient (R>0.7, P<0.05). Chronbach's α coefficient for five major domains demographics, objective knee score, expectations, satisfaction and function was high (α>0.7. P<0.05). Also, the inter-item correlation was also excellent for all domains. For validity, the NKSS was found to have excellent correlation with Bristol Knee Score and Oxford Knee Score, good correlation with KSS and SF 36 Discussion: The NKSS as a validated approach is adapted to the diverse health-related quality of lives and activities of contemporary patients with TKA. Orthopaedics surgeons are allowed to appreciate differences in the priorities of individual patients and the interplay among function, expectation, symptoms, and satisfaction after TKA using this assessment instrument. Conclusion: The results of this study show that the NKSS as a functional status questionnaire has been translated into Chinese without missing any psychometric properties of the original version. This culturally and linguistics adapted Chinese version of the NKSS outcome assessment has satisfactory internal consistency and good validity. It is an adequate and helpful instrument for the evaluation of Chinese speaking patients after TKA in clinical studies.<br>published_or_final_version<br>Medical Sciences<br>Master<br>Master of Medical Sciences
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Hassanin, Alaa-eldien Bahaa Ghareeb [Verfasser], and Alexander [Akademischer Betreuer] Brawanski. "Cerebral aneurysms - Facts and Conflicts: State-of-the-Art-Outcome (New Scoring System) / Bahaa Ghareeb Hassanin Alaa-eldien ; Betreuer: Alexander Brawanski." Regensburg : Universitätsbibliothek Regensburg, 2019. http://d-nb.info/1186968923/34.

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Karlsson, Michaela, and Alexandra Sandéhn. "Role of timeouts in table tennis examined." Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-38896.

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The purpose of the present study was to examine the role of timeouts in competitive elite table tennis in relation to psychological momentum (PM). To that end, archival data from elite top-international matches (N= 48) was firstly examined to gather information on when timeouts are most taken, and whether these have any objective influence on subsequent performance (set outcome and ultimately match outcome). Secondly, similar archival data for Swedish League matches (N= 36) was examined and interviews with elite coaches from the highest Swedish league (N= 6) at these given matches were carried out to gain further knowledge and understanding on the role and use of timeouts in competitive elite table tennis. Findings showed that timeouts were mostly called following a sequence of three consecutive lost points; that is, coaches used timeouts to break negative PM. However, findings also showed that these given timeouts had no objective impact on neither set nor match outcomes; that is, sets and matches were ultimately lost. Future research examining the subjective coach-player experience revolving around timeouts is needed to comprehend potential ‘secondary’ purposes when calling timeouts and, subsequently, understand timeouts role in table tennis fully.
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Terrell, Shane Patrick. "Feedlot lameness: industry perceptions, locomotion scoring, lameness morbidity, and association of locomotion score and diagnosis with case outcome in beef cattle in Great Plains feedlots." Diss., Kansas State University, 2016. http://hdl.handle.net/2097/34470.

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Doctor of Philosophy<br>Department of Diagnostic Medicine/Pathobiology<br>Daniel U. Thomson<br>In current literature, there is a limited amount of large scale data available demonstrating lameness morbidity in beef cattle feedlots, the subsequent outcomes of individuals exhibiting lameness, the morbidity and mortality of various lameness diagnoses, or the effect of locomotion score at the time of first morbidity and its effect on outcome. In addition, current perceptions of lameness by feedlot industry participants are not known and a reliable locomotion scoring system fit for use in a feedlot setting has not been developed. Consequently, the objectives of this research were three-fold. First, to obtain a baseline of the perception of lameness within the feedlot industry. Second, to develop a functional locomotion scoring system for use in feedlots and to test a training program implementing this locomotion scoring system for inter-rater reliability. Third, determine the association of lameness diagnosis and locomotion score at time of initial lameness diagnosis with case outcome in feedlot cattle and provide beef cattle feedlot lameness morbidity, mortality, and realizer incidence rates due to different lameness etiologies in a large scale, multisite study. One hundred forty-seven consulting nutritionists, veterinarians, and feedlot managers participated in the feedlot cattle lameness survey. The median response of estimated lameness incidence in the feedyard was 2%, with a mode of 1% and a mean of 3.8%. Participants indicated that footrot, injury, and toe abscesses were the most common causes of lameness. A locomotion scoring system was developed to clinically assess locomotion of beef cattle. The scoring system consisted of 4 categories: normal movement (0), slightly affected gait (1), obviously shortened stride or bobbing of head (2), and reluctance to move or apply weight to the limb while walking or standing (3). A total of 50 commercial feedlot employees and agricultural students were trained to use the scoring system in either English or Spanish. The scoring system was tested for inter-rater agreement and rater agreement against a cooperative standard based on consensus score by a team of individuals involved in the development of the scoring system, which included beef cattle veterinarians and welfare experts. Intra-class correlation coefficient (ICC) and Fleiss’s kappa were used to evaluate inter-rater agreement and rater agreement against the cooperative standard. Inter-rater agreement using ICC was 0.85 (95% CI; 0.75 to 0.93) while the mean kappa value was 0.52 (moderate agreement). Rater agreement with the cooperative standard resulted in mean kappa value of 0.64 (substantial agreement). A dynamic population longitudinal study with an initial study population of 245,494 head of feedlot cattle, with 524,780 animal arrivals and 527,220 animal departures recorded over the 12-month study was conducted over a year by trained personnel in six participating feedlots located in Kansas and Nebraska. Lameness morbidity incidence was 1.04 cases per 100 animal-years; lameness mortality was 0.397 cases per 100 animal-years. Cattle locomotion score (LMS; scale of 0 to 3 at time of initial diagnosis) were LMS1(22% of lameness cases), LMS2 (31%), and LMS3(22%). 24% of the lameness cases were not assigned a locomotion score (NS). Mortality risks were greatest for LMS3 (33.0%) and NS (31.3%), and were least for LMS1 (10.0%) with LMS2 (19.1%) being intermediate (P < 0.05).
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Dakovic, Igor [Verfasser], and Marcus [Akademischer Betreuer] Treitl. "Outcome der Scoring-Balloon Angioplastie der pAVK der unteren Extremitäten im Vergleich zur herkömmlichen Ballonangioplastie mit besonderem Augenmerk auf Reststenosen und Stentquote / Igor Dakovic ; Betreuer: Marcus Treitl." München : Universitätsbibliothek der Ludwig-Maximilians-Universität, 2020. http://d-nb.info/1226092403/34.

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Coumbe, Kelly Lynn. "Effects of environmental factors present during the administration of the California High School Exit Exam on students' outcome scores." CSUSB ScholarWorks, 2004. https://scholarworks.lib.csusb.edu/etd-project/2597.

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This study looked at the environmental factors present during testing for the spring 2004 administration of the California High School Exit Exam (CAHSEE) in an attempt to quantify some of the factors that were previously only qualitatively reported. Five factors were examined for their ability to predict passing percentages of students on the CASHSEE at the school level. The results indicated that socioeconomic status was the only significant predictor.
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Kurbaan, Arvinder Singh. "The utility of coronary scoring systems in assessing the influence of immediate post revascularisation coronary disease and its interplay with coronary restenosis on the one year outcome of coronary revascularisation." Thesis, Imperial College London, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.343803.

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Goldhill, David Raymond. "Identifying priorities in intensive care : a description of a system for collecting intensive care data, an analysis of the data collected, a critique of aspects of severity scoring systems used to compare intensive care outcome, identification of priorities in intensive care and proposals to improve outcome for intensive care patients." Thesis, Queen Mary, University of London, 1999. http://qmro.qmul.ac.uk/xmlui/handle/123456789/1405.

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This thesis reviews the requirements for intensive care audit data and describes the development of ICARUS (Intensive Care Audit and Resource Utilisation System), a system to collect and analyse intensive care audit information. By the end of 1998 ICARUS contained information on over 45,000 intensive care admissions. A study was performed to determine the accuracy of the data collection and entry in ICARUS. The data in ICARUS was used to investigate some limitations of the APACHE II severity scoring system. The studies examined the effect of changes in physiological values and post-intensive care deaths, and the effect of casemix adjustment on mortality predicted by APACHE II. A hypothesis is presented that excess intensive care mortality in the United Kingdom may be concealed by intensive care mortality prediction models. A critical analysis of ICARUS data was undertaken to identify patient groups most likely to benefit from intensive care. This analysis revealed a high mortality in critically ill patients admitted from the wards to the intensive care unit. To help identify critically ill ward patients, the physiological values and procedures in the 24 hours before intensive care admission from the ward were recorded: examination of the results suggested that management of these patients could be improved. This led to the setting up of a patient at risk team (PART). Two studies report the effect of the PART on patients on the wards and on the patients admitted from the wards to the intensive care unit. Additional care for surgical patients on the wards is suggested as a way of improving the management of high-risk postoperative patients. The thesis concludes by discussing the benefits of the ICARUS system and speculating on the direction that should be taken for intensive care audit in the future.
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Stemmet, Megan. "Prevalence and characterization of Gardnerella vaginalis in pregnant mothers with a history of preterm delivery." Thesis, University of the Western Cape, 2012. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_4430_1373278573.

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<p>Risk factors such as intrauterine and vaginal infection put pregnant women at risk for delivering preterm. Bacterial vaginosis (BV) is a polymicrobial clinical syndrome commonly diagnosed in women of reproductive age, with women of African descent with low socioeconomic status and previous preterm delivery at high risk. Although frequently isolated from healthy women,&nbsp<br>Gardnerella vaginalis has been most frequently associated with BV. There is limited data available on the prevalence of BV in Southern Africa<br>therefore, we embarked on a study to determine the&nbsp<br>prevalence of BV and G. vaginalis in predominantly black communities in the Western Cape, in order to establish the role of G. vaginalis in BV. Women attending various Maternity and Obstetrics&nbsp<br>units (MOU) in the Cape Peninsula with and without a history of pre-term delivery (PTD) were invited to participate in the study. Several factors were statistically associated with pregnancy history,&nbsp<br>including location of study population, parity, smoking and presence of clinical symptoms. The presence of G. vaginalis was determined by culture in 51.7% of the preterm delivery group (PTDG)&nbsp<br>and 44% of the full-term delivery group (FTDG) women. BV was detected in 31.13% of PTDG and 23.67% of FTDG by Gram stained analysis according to Nugent scoring criteria, with age and HIV&nbsp<br>status posing as risk factors. When comparing PTDG and FTDG for an association between the presence of G. vaginalis and BV, a stronger association was observed in the PTDG but it was not statistically significant. In both PTDG and FTDG, G. vaginalis was isolated significantly more often in women diagnosed with BV at 24.5% (p &lt<br>0.05). Antibiogram studies revealed both Metronidazole and Clindamycin resistant strains of G. vaginalis. G. vaginalis Biotype 7 is specifically associated with BV, while Biotype 2 appears to be associated with BV in women with a history&nbsp<br>of PTD. Accuracy of diagnostic tools were tested and it was determined that Nugent scoring is more sensitive in diagnosing BV (76.04%), but culture for G. vaginalis is more specific (83.21%). Although this study was limited in that we were unable to follow-up pregnancy outcomes, we were able to confirm the perceived role of G. vaginalis in BV.&nbsp<br></p>
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Books on the topic "Scoring outcome"

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Hart, Graeme K., and David Pilcher. Severity of illness scoring systems. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0029.

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Clinical outcome comparisons for research and quality assurance require risk adjustment measures validated in the population of interest. There are many scoring systems using intensive care unit (ICU)-specific or administrative data sets, or both. Risk-adjusted ICU and hospital mortality outcome measures may be not granular enough or may be censored before the absolute risk of the studied outcome reaches that of the population at large. Data linkage methods may be used to examine longer-term outcomes. Organ failure scores provide a method for assessing the intra-episode time course of illness and scores using treatment variables may be useful for assessing care requirements. Each adjustment system has specific merits and limitations, which must be understood for appropriate use. Graphical representations of the comparisons facilitate understanding and time-appropriate response to variations in outcome. There are, as yet, no universally-accepted measures for severity of illness and risk adjustment in deteriorating patients outside the ICU.
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Moreno, Rui. Organ failure scoring. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0030.

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The general outcome prediction models were not, by design, developed to track individual patients. They provided an indication of death risks for groups of ICU patients. Hence, investigators created organ failure scores. Instruments, such as Sequential Organ Failure Assessment (SOFA), Multiple Organ Dysfunction Score, or Logistic Organ Dysfunction Score are designed to evaluate separately the six most important organ systems in critically-ill patients sequentially, taken on a daily basis. Easy to perform, designed to be done at bedside, they do not forecast ICU or hospital mortality (apart from the SOFA score), but are very useful in describing the patient and his response to therapy.
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Wunsch, Hannah, and Andrew A. Kramer. The role and limitations of scoring systems. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0028.

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Scoring systems for critically-ill patients provide a measure of the severity of illness of patients admitted to intensive care units (ICUs). They are primarily based on patient characteristics, physiological derangement, and/or clinical assessments. Severity scores themselves allow for risk-adjusting outcomes, but they can also be used to provide a prediction of the overall risk of death, length of stay, or other outcome for critically ill patients. This allows for comparison of outcomes between different cohorts of patients or between observed and predicted ICU performance. There are a number of general ICU scoring systems that are in use. All scoring systems have limitations. Future scoring systems may include prediction of longer-term outcomes, and assimilation of granular data temporally and at the molecular level that could result in more personalized severity scores to help guide individual care decisions.
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Dalbeth, Nicola. Gout research tools. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198748311.003.0012.

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Although most tools used in gout research are generic, there are some important gout-specific instruments. New gout classification criteria were published in 2015. Outcome measure domains have been identified for both acute and chronic gout studies. A preliminary flare definition has been reported. Gout-specific, patient-reported outcome measure instruments allow assessment of gout disease activity and impact of tophi. Imaging scoring systems allow quantification of joint damage, inflammation, and urate burden in gout.
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Browning, Charles H. Browning Outcomes Survey Scale for brief therapy: BOSS intake, discharge and follow-up versions : Administration, procedures, scoring & reporting. Duncliff's International, 1996.

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Adam, Sheila, Sue Osborne, and John Welch. Evaluating evidence and quality of care in the critical care unit. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199696260.003.0016.

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Critical care nurses and the whole multidisciplinary team have a responsibility to ensure that they use the most appropriate treatments and care procedures, to continually evaluate the effectiveness and value of the interventions they perform and the care they give, and to aim for continuous improvement of their service. This chapter discusses how research should be applied in practice, key principles of audit, quality assurance and quality improvement, standard setting, illness severity scoring systems, and the prediction and measurement of patient outcomes. The challenges of managing long-term patients and ethical issues, such as treatment withdrawal, bereavement, and care of relatives, are also reviewed
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Abdullah, Hairil R., and Frances Chung. Recovery and Discharge for Procedures Conducted Outside of the Operating Room. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190495756.003.0005.

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This chapter provides contemporary perspectives on the issues of recovery assessment and monitoring, as well as an overview of the criteria-related discharge following anesthesia outside the operating room. The need for appropriate monitoring in the recovery period is argued based on data from an outcomes and claims registry. Discharge scoring systems are also discussed together with pertinent postanesthesia issues that may delay discharge from the postanesthesia care unit, such as nausea and vomiting, significant pain, as well as the need for mandatory patient escort. The standards and guidelines mentioned in this chapter apply not only to the anesthesiologists, but also to other physicians who supervise the recovery of patients in different units.
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Yang, Lynda J.-S. Peripheral Nerve Neurosurgery. Edited by Thomas Wilson. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190617127.001.0001.

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This book presents cases in peripheral nerve surgery divided into four distinct areas of pathology: entrapment and inflammatory neuropathies, peripheral nerve pain syndromes, peripheral nerve tumors, and peripheral nerve trauma. Each chapter also presents pearls for the accurate diagnosis of, successful treatment of, and effective complication management for each clinical entity. The latter three focus areas will be especially helpful to neurosurgeons preparing to sit for the American Board of Neurological Surgery oral examination, which bases scoring on the three areas. Finally, each chapter contains a review of the medical evidence and expected outcomes, which is helpful for counseling patients and setting accurate expectations. Rather than exhaustive reference lists, the authors provide selected references recommended to deepen understanding.
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Bion, Julian, and Anna Dennis. ICU admission and discharge criteria. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0020.

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The decision to admit patients to intensive care or discharge them, is a daily task for intensivists, a life-changing event for patients and families, and a major strategic issue for health care systems worldwide. Decisions must often be made rapidly, in conditions of uncertainty, involving substituted judgements about relative risks and benefits, framed by sociocultural factors that are not well characterized. The outcomes are strongly influenced by available resources, staffing, and skills throughout the patient pathway. The decision to admit should be based on the severity of illness, chronic health and physiological reserve, and therapeutic susceptibility, informed by the patient’s wishes. Discharge decisions are equally complex and involve balancing the needs of individual patients against those of society. Scoring systems and guidelines can aid decision making. The process involves collaboration between intensivist, referring team, patient, and family. The provision of futile care is usually driven by family expectations and lack of agreement among the treating team. Discussions involve value judgements. Effective admission and discharge processes will minimize avoidable morbidity, mortality, and readmissions, and maximize family and patient satisfaction, and cost-efficacy. However, reaching the most effective level of practice involves balances and compromises. Experienced clinical judgement remains a key element in defining suitability of individual patients for ICU admission and discharge.
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Book chapters on the topic "Scoring outcome"

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Moreno, Rui P., Susana Afonso, and Bruno Maia. "Scoring Systems and Outcome Prediction." In Surgical Intensive Care Medicine. Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-19668-8_58.

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Moreno, Rui, and Isabel Miranda. "Scoring Systems and Outcome Prediction." In Surgical Intensive Care Medicine. Springer US, 2010. http://dx.doi.org/10.1007/978-0-387-77893-8_58.

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Stein, Keith L. "Scoring Systems and Outcome Prediction." In Surgical Intensive Care Medicine. Springer US, 2001. http://dx.doi.org/10.1007/978-1-4757-6645-5_54.

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Knaus, W. A., and P. O. Nystrom. "Severity Scoring and Prediction of Patient Outcome." In Care of the Critically Ill Patient. Springer London, 1992. http://dx.doi.org/10.1007/978-1-4471-3400-8_76.

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Örtenwall, Per. "Scoring Systems Related to Outcome in Severe Injuries." In Medical Response to Major Incidents and Disasters. Springer Berlin Heidelberg, 2011. http://dx.doi.org/10.1007/978-3-642-21895-8_16.

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Mahmoudi, Elham, and Kevin C. Chung. "Severity Scoring Systems for Carpal Tunnel Syndrome and Outcome Tools." In Carpal Tunnel Syndrome and Related Median Neuropathies. Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-57010-5_9.

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"23 Outcome Scoring." In Acetabular Fractures, edited by Axel Gänsslen, Michael Müller, Michael Nerlich, and Jan Lindahl. Georg Thieme Verlag, 2018. http://dx.doi.org/10.1055/b-0038-160891.

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Marsden, Nick, and Sarah Hemington-Gorse. "Predicting mortality and end of life care." In Burns (OSH Surgery). Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780199699537.003.0007.

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Despite advances in burn management over recent decades, burn mortality is still the primary outcome measure in burn care. Numerous scoring systems have been developed over the years, which use a number of different prognostic indicators to calculate the estimated likelihood of mortality. This chapter summarizes the different prognostic scoring systems for mortality and highlights the important end of life care in burn patients with a predicted non-survivable injury.
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Rosar, William H. "The Herrmann–Hitchcock murder mysteries: post-mortem1." In Partners in Suspense. Manchester University Press, 2017. http://dx.doi.org/10.7228/manchester/9780719095863.003.0014.

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This chapter’s ‘post-mortem’ of the Herrmann-Hitchcock collaboration focusses on what occurred between the two men during the fateful sessions in which Hitchcock fired Herrmann when he was dissatisfied with what the composer was developing for the film. However, the chapter searches more broadly for reasons why the partnership broke down, including Hitchcock’s philosophies about film scoring and exploring the history of the working relationship between the two men, looking in particular at the process of spotting and scoring Psycho that caused such friction and created a precedent for what happened on Torn Curtain, albeit with a very different outcome.
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Al-Suhaymi, Zainab. "Congenital Heart Disease and Surgical Outcome in Down Syndrome." In Genetics and Etiology of Down Syndrome [Working Title]. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.97134.

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The prevalence of congenital heart disease has accounted for nearly one-third of all significant congenital anomalies worldwide. The first report about an association between cardiac anomalies and Down Syndrome was in (1876). Ten years after discovering of Down Syndrome and the credit of association between congenital cardiac anomalies and mongolism was suggested in (1894) by Garrod. There many studies performed to identify a correlation between genotype and phenotype in Down Syndrome, little is known about cardiovascular phenotype in Down Syndrome. Congenital heart disease is considered one of the highest causes of mortality and morbidity in Down Syndrome compared to patients with the same lesion of non-down. There is a big debate about surgical management and considered them as risk factors of surgery with precaution and recent technology, Down Syndrome considered as a normal patient in prognosis. This chapter aimed to shed the light on congenital heart disease in Down Syndrome and current knowledge in specific mutations associated with them and how the effect of innovative technology and management to treat them end at the same outcome and sometimes better based on recent research and Scoring System.
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Conference papers on the topic "Scoring outcome"

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Smales, Adrian, William Buchanan, Alistair Lawson, Brian Brown, and Peter Knight. "Analytics for Improving Patient Outcome by Utilising Comprehensive IoRN Assessment Scoring Metrics." In BCS Health Informatics Scotland (HIS). BCS Learning & Development, 2015. http://dx.doi.org/10.14236/ewic/his2015.2.

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Baumeister, Dorothea, and Tobias Hogrebe. "How Hard Is the Manipulative Design of Scoring Systems?" In Twenty-Eighth International Joint Conference on Artificial Intelligence {IJCAI-19}. International Joint Conferences on Artificial Intelligence Organization, 2019. http://dx.doi.org/10.24963/ijcai.2019/11.

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In an election, votes are often given as ordered lists over candidates. A common way of determining the winner is then to apply some scoring system, where each position is associated with a specific score. This setting is also transferable to other situations, such as sports tournaments. The design of such systems, i.e., the choice of the score values, may have a crucial influence on the outcome. We study the computational complexity of two related decision problems. In addition, we provide a case study of data from Formula 1 using ILP formulations. Our results show that under some mild conditions there are cases where the actual scoring system has no influence, whereas in other cases very small changes may lead to a different winner. This may be seen as a measure of robustness of the winning candidate.
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Murray, Iain A., Rosie Haddock, Alisdair Menzies, et al. "PTH-044 Effect of renal failure on the outcome of upper gi haemorrhage including risk scoring." In British Society of Gastroenterology Annual Meeting, 17–20 June 2019, Abstracts. BMJ Publishing Group Ltd and British Society of Gastroenterology, 2019. http://dx.doi.org/10.1136/gutjnl-2019-bsgabstracts.69.

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Dey, Palash, Neeldhara Misra, Swaprava Nath, and Garima Shakya. "A Parameterized Perspective on Protecting Elections." In Twenty-Eighth International Joint Conference on Artificial Intelligence {IJCAI-19}. International Joint Conferences on Artificial Intelligence Organization, 2019. http://dx.doi.org/10.24963/ijcai.2019/34.

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We study the parameterized complexity of the optimal defense and optimal attack problems in voting. In both the problems, the input is a set of voter groups (every voter group is a set of votes) and two integers k_a and k_d corresponding to respectively the number of voter groups the attacker can attack and the number of voter groups the defender can defend. A voter group gets removed from the election if it is attacked but not defended. In the optimal defense problem, we want to know if it is possible for the defender to commit to a strategy of defending at most k_d voter groups such that, no matter which k_a voter groups the attacker attacks, the out-come of the election does not change. In the optimal attack problem, we want to know if it is possible for the attacker to commit to a strategy of attacking k_a voter groups such that, no matter which k_d voter groups the defender defends, the outcome of the election is always different from the original (without any attack) one. We show that both the optimal defense problem and the optimal attack problem are computationally intractable for every scoring rule and the Condorcet voting rule even when we have only3candidates. We also show that the optimal defense problem for every scoring rule and the Condorcet voting rule is W[2]-hard for both the parameters k_a and k_d, while it admits a fixed parameter tractable algorithm parameterized by the combined parameter (ka, kd). The optimal attack problem for every scoring rule and the Condorcet voting rule turns out to be much harder – it is W[1]-hard even for the combined parameter (ka, kd). We propose two greedy algorithms for the OPTIMAL DEFENSE problem and empirically show that they perform effectively on reasonable voting profiles.
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Gayzik, F. Scott, Melissa Daly, and Joel Stitzel. "A Method to Discriminate Pulmonary Contusion Severity Through Analysis of Hounsfield Unit Frequency." In ASME 2007 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2007. http://dx.doi.org/10.1115/sbc2007-176906.

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This study presents a novel approach for the quantification and classification of pulmonary contusion (PC). PC is a common thoracic injury, affecting up to 25% of patients sustaining blunt chest trauma. [1] Contusion volume at the time of hospitalization has been shown to be an independent predictor for the development of Acute Respiratory Distress Syndrome (ARDS), with the risk of ARDS increasing sharply with PC in excess of 20% by volume. [1] Despite the frequency of the injury and strong positive correlation between contusion volume and outcome, there are relatively few contusion quantification methods in the current literature. One such study utilized chest x-ray film to score PC according the amount of lung appearing to be damaged. [2] The study concluded that despite the limitations in using chest x-rays, a PC scoring system may be of value in determining the need for ventilator assistance and predicting outcome. A potentially more accurate approach to quantifying the severity of PC is through the use of computed tomography (CT) chest scans. CT is the preferred modality for obtaining volumetric pulmonary contusion data since the complete three-dimensional lung anatomy is captured. In this work a semi-automated approach is used to analyze PC in an isolated model of lung contusion in the rat. [3, 4] The CT-based approach enables the PC to be precisely quantified as the lesion progresses in time. The technique distinguishes the severity of the contusion by analyzing the composition of bands in the Hounsfield Unit (HU) range of lung image masks.
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Iacucci, M., S. Smith, A. Bazarova, et al. "THE FIRST REAL-LIFE MULTICENTRE, PROSPECTIVE VALIDATION STUDY OF THE ELECTRONIC CHROMOENDOSCOPY SCORING SYSTEM (PICASSO-THE PADDINGTON INTERNATIONAL VIRTUAL CHROMOENDOSCOPY SCORE) AND ITS OUTCOME IN ULCERATIVE COLITIS." In ESGE Days. © Georg Thieme Verlag KG, 2020. http://dx.doi.org/10.1055/s-0040-1704050.

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French, Anna, and Timothy M. Kowalewski. "Laparoscopic Skill Classification Using the Two-Third Power Law and the Isogony Principle." In 2017 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/dmd2017-3341.

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Surgical skill evaluation is a field that attempts to improve patient outcomes by accurately assessing surgeon proficiency. An important application of the information gathered from skill evaluation is providing feedback to the surgeon on their performance. The most commonly utilized methods for judging skill all depend on some type of human intervention. Expert panels are considered the gold standard for skill evaluation, but are cost prohibitive and often take weeks or months to deliver scores. The Fundamentals of Laparoscopic Surgery (FLS) is a widely adopted surgical training regime. Its scoring method is based on task time and number of task-specific errors, which currently requires a human proctor to calculate. This scoring method requires prior information on the distribution of scores among skill levels, which creates a problem any time a new training module or technique is introduced. These scores are not normally provided while training for the FLS skills test, and [1] has shown that FLS scoring does not lend any additional information over sorting skill levels based on task time. Crowd sourced methods such as those in [2] have also been used to provide feedback and have shown concordance with patient outcomes, however it still takes a few hours to generate scores after a training session. It is desired to find an assessment method that can deliver a score immediately following a training module (or even in real time) and depends neither on human intervention nor on task-specific probability distributions. It is hypothesized that isogony-based surgical tool motion analysis discerns surgical skill level independent of task time.
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Aljabri, Duaa. "58 Effect of implementing an early warning scoring system on patient outcomes." In Patient Safety Forum 2019, Conference Proceedings, Kingdom of Saudi Arabia, Ministry of National Guard Health Affairs. British Medical Journal Publishing Group, 2019. http://dx.doi.org/10.1136/bmjoq-2019-psf.58.

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Siddique, Zahed, Chen Ling, Piyamas Saengsuri, Sagar Chowdhury, Yunjun Xu, and Xiaojun Geng. "Gaming and Interactive Visualization Education Module to Help Understand Geometric Tolerancing." In ASME 2010 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. ASMEDC, 2010. http://dx.doi.org/10.1115/detc2010-28596.

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In engineering disciplines, visualization can provide an essential mode to facilitate student understanding of important and abstract concepts. Learning through a medium that combines course materials with game characteristics can be a powerful tool for education. This approach is expected to improve student willingness to learn, which will in turn increase the interests of high school and undergraduate students towards engineering as a future career. In this paper, three teaching modules based on the Gaming and Interactive Visualization for Education (GIVE) in three universities will be described in detail with enhanced game characteristics. Also, using the newly developed assessment tools, the evaluation data from the students who have experienced the GIVE system will be analyzed. More specifically, the three modules are designed and illustrated in this paper for the Flight Mechanics, Introduction to Electrical Engineering, and Design and Manufacturing. The following game characteristics have been considered and implemented in the modules: progressively balanced goal, feedback, time sensitive scoring, adaptive scoring, meaningful visual presentation, emotional involvement, avoiding guess, constitutive rule, operational rule, background, challenges, and rewards. Along with the course module development and implementation, the outcomes have been assessed using our evaluation system. The results have been analyzed and suggestions have been given for future work.
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Fang, Wen-Feng, Chieh-Liang Wu, Chong-Jen Yu, et al. "Application And Comparison Of Scoring Indices To Predict Outcomes In Patients With Healthcare Associated Pneumonia." In American Thoracic Society 2010 International Conference, May 14-19, 2010 • New Orleans. American Thoracic Society, 2010. http://dx.doi.org/10.1164/ajrccm-conference.2010.181.1_meetingabstracts.a3204.

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