The Core-10-TISS consists of the most complex components of the TISS-28. It appears to be primarily used in Germany.
Parameter
Action
Points
01
mechanical ventilation (any form of mechanical or assisted ventilation with or without PEEP), with or without muscle relaxants; spontaneous breathing with PEEP)
5
02a
single vasoactive medication (any vasoactive drug)
intravenous replacement of large fluid losses; fluid replacement > 3 liters per square meter per day; disregard type of fluid administered
4
04
peripheral arterial catheter
5
05
left atrium monitoring; pulmonary artery flotation catheter with or without cardiac output measurement
8
06
hemofiltration techniques. Dialytic techniques
3
07
measurement of intracranial pressure
4
08
treatment of complicated metabolic acidosis/alkalosis
4
09a
single specific intervention inside ICU
3
09b
multiple specific interventions inside ICU
5
10
specific interventions outside of ICU (surgery, diagnostic procedures)
5
where:
• Specific interventions = naso- or oro-tracheal intubation, introduction of a pacemaker, cardioversion, endoscopies, emergency surgery in the past 24 hours, and gastric lavage.
• In the implementation the points from TISS-28 are carried over.
• Vasoactive drugs should be administered for at least one hour.
TISS-10 =
= SUM(points for actions involved in the care of the patient)
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