Accession Number:

ADA199233

Title:

A Severity of Illness Index for Evaluation Pre-Hospital Care of Submariners with Abdominal Pain

Descriptive Note:

Interim rept.

Corporate Author:

NAVAL SUBMARINE MEDICAL RESEARCH LAB GROTON CT

Report Date:

1988-08-15

Pagination or Media Count:

20.0

Abstract:

It is difficult to compare the severity of different illnesses. Medical outcome measurements -- morbidity and mortality -- are not useful indicators. Another indicator is needed. A Severity of Illness Scale has been developed and validated on patients hospitalized with abdominal pain. A maximum likelihood factor analysis was carried out on the following variables the number of bed days occupied by the patient, the number of diagnoses, procedures, preoperative, postoperative, and convalescent days, and the hospital admissions. This produced a two factor solution which reflected i the intensity of the treatment and ii the severity of the illness. There was a significant effect of the specific diagnosis on the treatment instituted, which demonstrated the validity of the Severity of Illness Scale. Other uses of the scale are discussed. Keywords Quality of care Abdominal pain Submarine personnel Technology assessment Outcomes.

Subject Categories:

  • Medicine and Medical Research

Distribution Statement:

APPROVED FOR PUBLIC RELEASE