摘要
加護病房評分系統能藉由量化疾病嚴重度來預測死亡率，進而輔助臨床醫師擬定治療方向及分配醫療資源。良好的評分系統是提升照護品質的一大助力。現今世界各國最普遍使用的系統，是急性生理及慢性健康評估系統(acute physiologic and chronic health evaluation system, APACHE system)、簡化急性生理評分(simplifi edacute physiology score, SAPS) 和相繼器官衰竭評分(sequential organ failure assessment score, SOFA)。三者皆有良好預測能力，而使用上各有優劣。未來若要進一步發展更精準的評分系統，將生物標記納入變項是值得考慮的方向。
並列摘要
Intensive care unit (ICU) scoring systems are developed to evaluate the severity of disease. Such measurements are capable of providing an improved prediction of prognosis along with objective information for clinical decision making for treating critically ill patients. Ideal scoring systems are helpful for improving quality of care. The three major ICU predictive scoring systems are the Acute Physiologic and Chronic Health Evaluation (APACHE) scoring system, the Simplified Acute Physiologic Score (SAPS), and the Sequential Organ Failure Assessment (SOFA). All of them have acceptable accuracy of predicting prognosis. However, there are some limitations and methodological differences among the three instruments. In developing more precise ICU predictive scores, combining current clinical variables with recent innovative biomarkers is worth considering in the future.