Simplified Acute Physiology Score

The Simplified Acute Physiology Score (SAPS) was developed to provide a measure of the physiological state of a patient in clinical studies . In clinical studies, groups of patients can be compared with regard to their general state of health, e.g. B. to be able to recognize the influence of different disease severity in different study groups.

First, the score was developed for a one-off assessment when included in a study.

But it is also used to assess the severity of the disease during treatment. Here it is combined with the Therapeutic Intervention Scoring System (TISS), which measures the intensity and effort of the treatment. For this, the SAPS II is calculated for the first time 24 hours after admission to the intensive care unit and then recalculated daily. In Germany and Austria, it is also included in the calculation of the expenditure points for complex intensive care treatment and is therefore also relevant for the remuneration of inpatient treatment.

calculation

The following values are included in the calculation (SAPS II):

Admission findings	Readings	Laboratory values
Recording status Chronic ailments Glasgow Coma Scale Age of the patient	Systolic blood pressure Heart rate Body temperature with mechanical ventilation: oxygenation index PaO2 / FiO2 Export urine	Urea in the serum Leukocytes Potassium in the serum Sodium in the serum Bicarbonate in the serum Bilirubin in serum

A point value is created from these values with different weighting.

Web links

English form for calculating the SAPS II

Specifications of the DIMDI for 2005 :

Calculation of the expenditure points for intensive care complex treatment (SAPS, TISS) (PDF file; 56 kB)
Documentation requirements for recording complex intensive care medicine (SAPS, TISS) (PDF file; 22 kB)

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↑ Jean-Roger Le Gall, MD; Stanley Lemeshow, PhD; Fabienne Saulnier, MD: A New Simplified Acute Physiology Score (SAPS II) Based on a European / North American Multicenter Study . JAMA 1993; 270 (24): 2957-2963.

[1] Jean-Roger Le Gall, MD; Stanley Lemeshow, PhD; Fabienne Saulnier, MD: A New Simplified Acute Physiology Score (SAPS II) Based on a European / North American Multicenter Study . JAMA 1993; 270 (24): 2957-2963.