Therapeutic Intervention Scoring System
The Therapeutic Intervention Scoring System ( TISS ) is a 1974 by Cullen et al. presented scoring system for quantifying the daily care and therapy effort of seriously ill patients .
The TISS scoring contains a certain number of points per parameter. From the sum of the respective points (score value), collected over a period of 24 hours, the effort for therapy , care and support of the patient can be estimated. It has been adapted many times since its introduction, has become widespread and is now an established standard score.
A current Therapeutic Intervention Scoring System consists of 28 (TISS28) items. 6 additional items can be entered optionally. This enables a daily display of activity patterns in intensive care units .
The services to be collected in TISS28 are:
| Standard monitoring | laboratory | Medication: once | Medication: multiple | Medication vasoactive: once | Medication vasoactive: multiple | Dressing change : routine |
| Dressing change : often | Drainage care | Respiratory support | Respiratory therapy | Mechanical ventilation | tube care | Massive fluid replacement |
| Catheter arterial | Pulmonary catheter | Central venous catheter | Cardiopulmonary resuscitation | Urine balance | Active diuresis | Renal replacement therapy |
| Intracranial pressure measurement | Treatment of metabolic derailments | Diet : enteral | Diet : parenteral | Intervention: easy | Intervention: multiple | Diagnostics and therapy outside of IBS |
| Optional | ||
|---|---|---|
| Agitation and delirium | Assist cardiac | Assist pulmonary |
| Therapeutic hypothermia | Extracorporeal liver support | Continuous intravenous anticonvulsant therapy |
literature
- David Cullen et al: Therapeutic intervention scoring system. Aa method for quantitative comparison of patient care . In: Critical Care Medicine . tape 2 , no. 2 , 1974, ISSN 0090-3493 , pp. 57-60 , PMID 4832281 .
Individual evidence
- ↑ LKF-Modell 2018: Handbuch Medical Documentation. Pp. 283-307 ( bmgf.gv.at PDF).