Outcome assessment - TISS as a tool to evaluate cost-effectiveness of immunological treatment

Authors
Citation
Dr. Miranda, Outcome assessment - TISS as a tool to evaluate cost-effectiveness of immunological treatment, EURO J SURG, 163, 1999, pp. 51-55
Citations number
9
Categorie Soggetti
Surgery
Journal title
EUROPEAN JOURNAL OF SURGERY
ISSN journal
11024151 → ACNP
Volume
163
Year of publication
1999
Supplement
584
Pages
51 - 55
Database
ISI
SICI code
1102-4151(199910)163:<51:OA-TAA>2.0.ZU;2-Y
Abstract
Nursing costs more than any other element of intensive care. Nurses are all ocated exclusively to the ICU, and their use can therefore be accurately mo nitored. The amount of nursing work in the ICU is intimately associated wit h the severity of illness of the patients. Consequently, the density of nur sing staff in the ICU can be used as a measure of cost, and the Therapeutic Intervention Scoring System (TISS) is a reliable tool for measuring their workload. TISS is therefore often used to compare the costs of alternative courses of care; it covers direct costs of care, but it should not be used as a proxy for total costs in the ICU. The users of TISS should consider th e limitations of the scoring system in some aspects of its development, as well as the general nature of the definitions of the items included. The ca reful enunciation of the more generally defined items has therefore to be c onsidered when it is used in a research project that compares small samples .