Synonym(s)
Scoring systems
DefinitionThis section has been translated automatically.
In medicine, the term stands for measurement procedures to record and document the course of a disease. Score systems are indispensable instruments for the implementation of an evidence-based (see below: evidence level) medicine with the help of recognized evidence, based on the best scientific, objectifiable and verifiable evidence currently available (see below: guidelines, evidence-based).
General informationThis section has been translated automatically.
- Like all measuring methods, scoring systems are subject to various disturbing effects and systematic errors, which must be known. These include:
- Reliability
- Practicability
- Variability
- specific problems that arise when interpreting the values.
- The practical use of score systems in everyday clinical practice is currently still disputed. They represent a potential tool for the classification of disease acuteity, for the assessment of its course, for the evaluation of therapeutic procedures as well as for quality control and assurance. Score systems are basically suitable as instruments for the control of a therapy and its side effects, e.g. in cytostatic therapy (see Common Toxicity Criteria below).
OccurrenceThis section has been translated automatically.
- Scoring systems used especially for dermatological questions:
- Autoimmune Bullous Skin Disorder Intensity Score (ABSIS)
- Cutaneous Dermatomyositis Area And Severity Index (CDASI)
- Common toxicity score ( Common Toxicity Criteria; CTS)
- Dermatology Index of Diseases (DIDS)
- Eczema Area and Severity Score (EASI)
- Lupus Activity Criteria Count (LACC)
- Psoriasis Area and Severity Index ( PASI)
- Rodnan skin score (RSS) in systemic scleroderma
- Systemic Lupus Erythematodes Disease Activity Index (SLEDAI)
- Cutaneous Lupus Area And Severity Index (CLASI)
- SCORAD.
- Examples of sores systems used in various fields of medicine:
- APACHE II ("Acute Physiology and Chronic Health Evaluation")
- TISS ("Therapeutic Intervention and Severity Score"): Therapy-oriented scoring system in intensive care units, which is used to determine DRGs with cost relevance for intensive care medicine
- Apgar score for the assessment of newborns and infants
- Duke-Score for ergometric diagnosis of coronary heart disease CHD
- Hasford Score for the assessment of the risk group for leukaemia
- Injury Severity Score (ISS) for trauma classification
- Lipton score for classification in histiocytosis X patients.
LiteratureThis section has been translated automatically.
- Gaines E et al (2008) Development of outcome measures for autoimmune dermatoses. Arch Dermatol Res 300: 3-9
Prof. Dr. med. Peter Altmeyer