THE CRITICAL INTENSIVE-CARE PATIENT IN PE DIATRIC-SURGERY

In contrast to American literature there are nearly no dates available in Europe for pediatric surgery in respect to scores for intensive ca re patients. Only the APGAR-score is used routinely. Maybe, the enormo us amount of data necessary for other scores is blocking their use, at least thus far. The pediatric risk of mortality (PRISM) index takes 1 6 parameters into account, including altering normal levels according to the patient's age. The pediatric trauma score may be of no advantag e here to the injury severity score, since there is no knowledge about the influence of the age factor. Prognosis in intensive care needs ab ove all dynamic evaluation, leading to dynamic risk assessment score; this means multiple continuous assessments of PRISM evaluations, the s o called Dynamic Objective Risk Assessment Score, by these data. Progn osis can be evaluated in good confidence for a group of patients, but not for an individual. A doctor in charge of a child should never hide behind a score.